Organization
THOMAS S EAGAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH A EAGAN RN (OFFICE MANAGER)
(518) 773-7306
Entity
Organization
Contact information
Practice address
215 COUNTY HIGHWAY 128, GLOVERSVILLE, NY 12078-4806
(518) 773-7306
(518) 773-8511
Mailing address
215 COUNTY HIGHWAY 128, GLOVERSVILLE, NY 12078-4806
(518) 773-7306
(518) 773-8511
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1162791
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00042026P001
BS
NY
05
—
0527239
—
NY
01
—
10000547
COPHP
NY
01
—
1162791
W COMP
—
Enumeration date
11/03/2005
Last updated
03/23/2015
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