Individual
KERRY M FAGELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 ERFORD RD, SUITE 101, CAMP HILL, PA 17011-1802
(800) 233-4082
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(800) 233-4082
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD031250E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009636720004
—
PA
Enumeration date
04/26/2006
Last updated
10/12/2009
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