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Individual

DR. MICHAEL EGLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
315 E NORTHFIELD RD, LIVINGSTON, NJ 07039-4896
(973) 992-0002
(973) 740-1413
Mailing address
315 E NORTHFIELD RD, LIVINGSTON, NJ 07039-4896
(973) 992-0002
(973) 740-1413

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD01374
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0389260001
DMERC
NJ
05
1574205
NJ
Enumeration date
02/02/2006
Last updated
02/27/2013
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