Organization
FAGAN PRACTICE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROYCE MILTON FAGAN JR. MD (PHYSICIAN)
(410) 581-1662
Entity
Organization
Contact information
Practice address
9419 COMMON BROOK RD, STE 200, OWINGS MILLS, MD 21117-7536
(410) 581-1662
Mailing address
9419 COMMON BROOK RD, STE 200, OWINGS MILLS, MD 21117-7536
(410) 581-1662
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D55625
MD
Other
Enumeration date
01/10/2007
Last updated
08/22/2020
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