| Samuel Shaw Fager, MD | |
|
1415 Old Gulph Rd, Villanova, PA 19085-2041 | |
| (610) 520-0246 | |
| (610) 525-3737 |
| Full Name | Samuel Shaw Fager |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1415 Old Gulph Rd, Villanova, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780112078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 028579 (Connecticut) | Primary |
| 208000000X | Pediatrics | G37093 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Shaw Fager, MD Po Box 369, Villanova, PA 19085-0369 Ph: () - | Samuel Shaw Fager, MD 1415 Old Gulph Rd, Villanova, PA 19085-2041 Ph: (610) 520-0246 |
Dr. Allison S. Fanelli, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 789 E. Lancaster Ave., Suite 10, Villanova, PA 19085 Phone: 484-381-4010 Fax: 484-381-4020 | |
Dr. John Goldener, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 217 Radnor Chester Rd, Villanova, PA 19085 Phone: 610-525-5200 | |
Dr. Lauren Ann Kostelnik, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 789 E Lancaster Ave Ste 10, Villanova, PA 19085 Phone: 484-381-4010 | |
Dr. Gity Banan Etemad, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15 Wistar Rd, Villanova, PA 19085 Phone: 484-433-2339 |