Dr. Matthew J Fagan
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
4375 Ogletown Stanton Road Suite 1208
Newark
, Delaware 19713-2089
Dr. Matthew J Fagan
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
4375 Ogletown Stanton Road Suite 1208
Newark
, Delaware 19713-2089
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Matthew J Fagan
- 200 Hygeia Dr
- Newark, DE
- Zip : 19713-2049
- Phone :
Second Address
- Dr. Matthew J Fagan
- 4375 Ogletown Stanton Road Suite 1208
- Newark, DE
- Zip : 19713-2089
- Fax : (302) 623-4056
- Phone : (302) 623-4055
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | C10011078 | DE |
| N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD429235 | PA |
| N | 207VG0400X | Gynecologist | C10011078 | DE |
| N | 207VG0400X | Gynecologist | MD429235 | PA |
National Provider Identifier
| NPI | 1538184791 |
|---|---|
| Provider Name | Dr. Matthew J Fagan |
| First Address | Newark, DE 19713-2049 |
| Second Address | Newark, DE 19713-2089 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 30/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1016687780001 | (05) | PA |
| H94982 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.