Individual
DR. JONATHAN VAL C. FAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
705 HADDONFIELD BERLIN RD, VOORHEES, NJ 08043-3714
(856) 679-0537
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB10210800
NJ
207Q00000X
Family Medicine Physician
H0080015
MD
Other
Enumeration date
10/31/2013
Last updated
06/16/2021
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