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NPI Code Detail

MEDICARE: FERNANDO JOSEPH PAGAN

MEDICARE:   FERNANDO JOSEPH PAGAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1639660129
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERNANDO JOSEPH PAGAN
Provider Business Mailing Address
First Line : 307 W 38TH ST FL 6
Second Line :
City : NEW YORK
State : NY
Zip : 10018-9537
Country : US
Telephone Number : 212-810-4075
Fax Number :
Provider Business Practice Location Address
First Line : 307 W 38TH ST FL 6
Second Line :
City : NEW YORK
State : NY
Zip : 10018-9537
Country : US
Telephone Number : 212-810-4075
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2018
Last Update Date : 05/21/2018

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Directions to “ FERNANDO JOSEPH PAGAN ” Practice Location

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