Individual
DR. JACK THOMAS EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 MESSINA AVE, HAMMONTON, NJ 08037-1327
(609) 561-1974
Mailing address
255 MESSINA AVE, HAMMONTON, NJ 08037-1327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01890600
NJ
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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