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Individual
JUSTIN JAMES EGGLESTON
Active
Individual
JUSTIN JAMES EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS011861
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026790801
UNIVERA
NY
01
—
02593433
NY MEDICAL ASSISTANCE
NY
05
—
1011365700001
—
PA
01
—
1068837
W. VIRGINIA WORKERS COMP
WV
01
—
1537945
GATEWAY
PA
01
—
156601
UNISON
PA
01
—
1625163
BLUE SHIELD
PA
01
—
2484753
OH MEDICAL ASSISTANCE
OH
01
—
410043
UPMC
PA
01
—
7895534
AETNA
PA
01
—
P00147174
RR MEDICARE
PA
Enumeration date
07/26/2005
Last updated
05/05/2008
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