Michael Eagan
Emergency Physician
300 2nd Ave Monmouth Medical Center
Long Branch
, New Jersey 07740-6303
Michael Eagan
Emergency Physician
300 2nd Ave Monmouth Medical Center
Long Branch
, New Jersey 07740-6303
(800) 345-0064
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Michael Eagan
- Po Box 717
- Livingston, NJ
- Zip : 07039-0717
- Phone : (800) 345-0064
Second Address
- Michael Eagan
- 300 2nd Ave Monmouth Medical Center
- Long Branch, NJ
- Zip : 07740-6303
- Phone : (732) 923-8882
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 25MA07401400 | NJ |
National Provider Identifier
| NPI | 1003965237 |
|---|---|
| Provider Name | Michael Eagan |
| First Address | Livingston, NJ 07039-0717 |
| Second Address | Long Branch, NJ 07740-6303 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/01/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8892806 | (05) | NJ |
| H72328 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.