Samuel Allen Fagenholz
MD | Pediatrics | Male
Samuel Allen Fagenholz, MD is a Erie, Pennsylvania based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Samuel Allen Fagenholz is
300 State St Ste 301, Erie, Pennsylvania - 16507-1430. He can be contacted on phone at
814-877-7907 and fax number 814-877-6791.
Samuel Allen Fagenholz is a sole proprietor of his business.
NPI number (Unique professional ID) for Samuel Allen Fagenholz is
1376549998 which was assigned by NPPES on 28 Jun, 2005 and it was last updated on 18 Mar, 2013.
Samuel Allen Fagenholz license number is
MD021621E for Pediatrics (208000000X) in Pennsylvania.
Samuel Allen Fagenholz is a pediatrician who 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.
Complete Profile:
Samuel Allen Fagenholz basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Samuel Allen Fagenholz |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Samuel Allen Fagenholz address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 State St Ste 301
Erie, PA, 16507-1430
United States |
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| Phone Number : | 814-877-7907 |
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| Fax Number : | 814-877-6791 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1376549998 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Jun, 2005 |
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| Last Updated On : | 18 Mar, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel Allen Fagenholz are as mentioned. Primary taxonomy code for Samuel Allen Fagenholz, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0214X | Pediatrics Pediatric Pulmonology | No | MD021621E | PA |
| 208000000X | Pediatrics | Yes | MD021621E | PA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 State St Ste 301
Erie, PA, 16507-1430
United States |
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| Phone Number : | 814-877-7907 |
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| Fax Number : | 814-877-6791 |
|---|
Business Location:
Patients can refer following map for directions to
Samuel Allen Fagenholz practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.