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Individual

DR. LINDA NADINE FAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
24 INDEPENDENCE DR, BASKING RIDGE, NJ 07920-3815
(908) 462-4620
Mailing address
24 INDEPENDENCE DR, BASKING RIDGE, NJ 07920-3815
(908) 462-4620

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
25MA07530800
NJ

Other

Enumeration date
10/20/2015
Last updated
10/20/2015
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