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Dr. Walter J. Fagan, MD
Vascular Surgery Physician in Jim Thorpe, Pennsylvania
NPI 1659703635

Walter J. Fagan is a Vascular Surgery Physician based in Jim Thorpe, PA and is specialized in Vascular Surgery. Walter J. Fagan practices in Jim Thorpe, PA and has the professional credentials of MD. The NPI Number for Walter J. Fagan is 1659703635 and holds a License No. MD035284E (Pennsylvania).

The current practice location address for Walter J. Fagan is 211 Center Ave, Jim Thorpe, PA and can be reached out via phone at 817-845-1968.

Location: 211 Center Ave, Jim Thorpe, PA, 18229-1205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659703635
Provider Name
Walter J. Fagan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
211 Center Ave, Jim Thorpe, PA, 18229-1205
Phone Number
817-845-1968
Fax Number
Provider Enumeration Date
08/01/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
211 Center Ave
City
Jim Thorpe
State
Pennsylvania
Zip
18229-1205
Phone Number
817-845-1968
Fax Number
person
Provider Business Mailing Address Details
Address
211 Center Ave
City
Jim Thorpe
State
Pennsylvania
Zip
18229-1205
Phone Number
817-845-1968
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
MD035284E (Pennsylvania)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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