Individual
MARTIN FAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
456 WASHINGTON AVE, BRIDGEVILLE, PA 15017-2368
(412) 712-4724
Mailing address
456 WASHINGTON AVE, BRIDGEVILLE, PA 15017-2368
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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