Individual
JAMES W EAGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 337-1000
Mailing address
7601 OSLER DR, TOWSON, MD 21204-7700
(410) 337-1000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D0014873
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
312241700
—
MD
01
—
60322601
BLUE SHIELD
MD
01
—
R4270001
GHI
DC
Enumeration date
11/16/2006
Last updated
10/13/2010
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