Individual
DR. JEAN ESTHER FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 FOREST GLEN RD, KAISER PERMANENTE HOLY CROSS HOSPITAL, SILVER SPRING, MD 20910-1483
(301) 905-3600
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-7405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241491
MA
207R00000X
Internal Medicine Physician
Primary
D74096
MD
Other
Enumeration date
08/27/2009
Last updated
06/11/2021
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