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Individual
MARIA E FAGET
Active
Individual
MARIA E FAGET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01072028A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01072028A
STATE LICENSE
IN
01
—
16563
STATE LICENSE
PR
05
—
201135190
—
IN
Enumeration date
07/05/2007
Last updated
07/12/2024
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