Fagan, Royce Milton

Fagan, Royce Milton is an individual health care provider with primary practice located at 9419 Common Brook Rd Suite 200, Owings Mills MD 21117-7536. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fagan, Royce Milton can be contacted via phone (410) 581-1662.

Contact Information

Primary practice address
9419 Common Brook Rd Suite 200 Owings Mills MD 21117-7536
Phone: (410) 581-1662
Fax: (410) 581-1120
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C55132 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X C55132 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D055625 Maryland

Profile Details

NPI number 1407814486
LBN Legal business name Fagan, Royce Milton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Aug 18th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407814486 NPPES
Maryland MEDICAID 400588100

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