Individual
KIERAN THOMAS EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
347 VARICK ST, APT 118A, JERSEY CITY, NJ 07302-3454
(239) 272-8142
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21654
NH
Other
Enumeration date
05/01/2017
Last updated
09/30/2021
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