MEDICARE: DR. THOMAS A. FAGAN DC

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
1	111N00000X	Chiropractor	2284	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	352504	OTHER	MA	HARVARD PILGRIM HEALTH
2	Y36717	OTHER	MA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1790812352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS A. FAGAN DC

Provider Business Mailing Address
First Line	:	75 DORCHESTER ST
Second Line	:
City	:	SOUTH BOSTON
State	:	MA
Zip	:	02127-2228
Country	:	US
Telephone Number	:	617-464-2227
Fax Number	:	617-268-4218

Provider Business Practice Location Address
First Line	:	75 DORCHESTER ST
Second Line	:
City	:	SOUTH BOSTON
State	:	MA
Zip	:	02127-2228
Country	:	US
Telephone Number	:	617-464-2227
Fax Number	:	617-268-4218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	11/21/2016

Similar Medicare Providers

1801823620 — DR. JASON P BLOCK MD
Practice Location Address:

75 FRANCIS STREET , BRIGHAM INTERNAL MEDICARE ASSOCIATES
BOSTON, MA
02115

Practice Phone: 617-732-6049
Practice Fax: 617-264-5202

1497074280 — TAMOIYA MULLGRAV
Practice Location Address:

13502 FOCH BLVD
SOUTH OZONE PARK, NY
11420-2228

Practice Phone: 718-659-1275
Practice Fax:

1881052264 — MS. NICOLE NYISZTER
Practice Location Address:

21 YATES AVE
SOUTH RIVER, NJ
08882-2228

Practice Phone: 732-789-7644
Practice Fax:

1487383741 — YANIER FRANCISCO RODRIGUEZ PEREZ LMHC
Practice Location Address:

6290 SW 59TH PL
SOUTH MIAMI, FL
33143-2228

Practice Phone: 786-444-0494
Practice Fax:

1194688341 — POWERBACK REHABILITATION OF MA, PC
Practice Location Address:

205C WILLOW ST
SOUTH HAMILTON, MA
01982-2228

Practice Phone: 617-315-8665
Practice Fax:

1932068525 — JENNIFER ANNE MASELLO MS, RD, LDN
Practice Location Address:

52 N ST
SOUTH BOSTON, MA
02127-4518

Practice Phone: 630-841-8113
Practice Fax:

Directions to “ DR. THOMAS A. FAGAN DC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.