Individual
DR. ROYCE MILTON FAGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9419 COMMON BROOK RD, SUITE 200, OWINGS MILLS, MD 21117-7536
(410) 581-1662
(410) 581-1120
Mailing address
10 MAGGIES CT, REISTERSTOWN, MD 21136-4730
(443) 744-8106
(410) 581-1662
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
332941
NY
207R00000X
Internal Medicine Physician
C55132
CA
207R00000X
Internal Medicine Physician
D055625
MD
208M00000X
Hospitalist Physician
81399
CT
208M00000X
Hospitalist Physician
C55132
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400588100
—
MD
Enumeration date
05/01/2006
Last updated
05/28/2025
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