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Individual
CHRISTOPHER JAMES EGAN
Active
Individual
CHRISTOPHER JAMES EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1576
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1062PA
—
SC
01
—
P00891752
RR MEDICARE
SC
Enumeration date
09/20/2010
Last updated
12/19/2019
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