Individual
JONATHAN D EAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
845 FISHBURN RD, HERSHEY, PA 17033-2015
(800) 233-4082
Mailing address
PO BOX 854, MCA410, HERSHEY, PA 17033-0854
(800) 233-4082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD420654
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD420654
MEDICAL LICENSE
PA
Enumeration date
09/29/2009
Last updated
09/29/2009
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