Individual
DR. LAURA RACHEL FAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
185 S ORANGE AVE # MSBE-609, NEWARK, NJ 07103-2757
(973) 972-5123
Mailing address
185 S ORANGE AVE # MSB-E609, NEWARK, NJ 07103-2757
(973) 972-5123
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA10631400
NJ
Other
Enumeration date
07/28/2014
Last updated
10/21/2020
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