Individual
DR. DEVON MARC FAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, JD
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3446
Mailing address
360 NEW CANAAN RD, WILTON, CT 06897-3331
(203) 733-6621
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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