Individual
MICHAEL EAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 2ND AVE, MONMOUTH MEDICAL CENTER, LONG BRANCH, NJ 07740-6303
(732) 923-8882
Mailing address
PO BOX 717, LIVINGSTON, NJ 07039-0717
(800) 345-0064
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA07401400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8892806
—
NJ
Enumeration date
01/09/2007
Last updated
06/08/2023
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