STEVEN J FAGAN, DO, Neuroradiology MANAHAWKIN, NJ

Contact Information

STEVEN J FAGAN, DO

128 ANITA DR
MANAHAWKIN, NJ 08050-3603

Phone: 843-200-2815
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Neuroradiology	2085N0700X

Indicates primary specialty

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NPI Profile & details for STEVEN J FAGAN · (Male)

NPI Number	`1528060258`
Status	Active
Credentials	DO (Doctor of Osteopathic)
Entity	Individual
Enumeration date	08/12/2005
Last updated	05/05/2017 - About 9 years ago
Sole proprietor ¹	No
Identifiers	FL License # OS 8412 ME License # 1031 SC License # 0703
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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