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SAMUEL SHAW FAGER MD NPI 1780112078


NPI Information

NPI: 1780112078
Provider Name: SAMUEL SHAW FAGER, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1415 OLD GULPH RD
VILLANOVA, PA
ZIP 19085
Phone: (610) 520-0246
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Samuel Shaw Fager, MD is a pediatrics in Villanova, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Samuel Shaw Fager, MD NPI is 1780112078. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1415 OLD GULPH RD
VILLANOVA, PA
ZIP 19085-041
Phone: (610) 520-0246
Fax: (610) 525-3737

The enumeration date for this NPI number is 5/31/2017 and was last updated on 5/31/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsG37093CALIFORNIANo
2208000000XPediatrics028579CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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