Individual
JANINE R EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, OPHTHALMOLOGY, LEBANON, NH 03756-0001
(603) 650-5123
(603) 676-4090
Mailing address
ONE MEDICAL CENTER DRIVE, OPHTHALMOLOGY, LEBANON, NH 03756-0001
(603) 650-5123
(603) 676-4090
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13766
NH
207W00000X
Ophthalmology Physician
160082
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110061703A
—
MA
05
—
3084523
—
NH
Enumeration date
11/21/2005
Last updated
10/08/2020
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