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ALEXANDER MAX FAGENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-2000

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
61918
KY
208600000X
Surgery Physician
Primary
211111
PA

Other

Enumeration date
04/05/2016
Last updated
04/27/2026
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