Individual
DR. CLAIRE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 940-4483
Mailing address
96 HILLTOP DR, WEATOGUE, CT 06089-9672
(860) 940-4483
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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