Individual
ANDREW EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
73 HIGH ST, SANBORNVILLE, NH 03872-4365
(603) 522-9226
Mailing address
73 HIGH ST, SANBORNVILLE, NH 03872-4365
(603) 522-9226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1357
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30416002
—
NH
Enumeration date
11/27/2007
Last updated
11/27/2007
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