Dr Steven Barry Eagle, MD | |
509 N Broad St, Woodbury, NJ 08096-1617 | |
(856) 845-0100 | |
(302) 651-4945 |
Full Name | Dr Steven Barry Eagle |
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Gender | Male |
Speciality | Pediatrics |
Location | 509 N Broad St, Woodbury, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609012806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 25MA08737400 (New Jersey) | Primary |
208000000X | Pediatrics | 257724 (New York) | Secondary |
Entity Name | Nemours New Jersey Physician Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265874713 PECOS PAC ID: 4486871159 Enrollment ID: O20140805000413 |
Mailing Address | Practice Location Address |
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Dr Steven Barry Eagle, MD Po Box 191, Provider Enrollment, Rockland, DE 19732-0191 Ph: () - | Dr Steven Barry Eagle, MD 509 N Broad St, Woodbury, NJ 08096-1617 Ph: (856) 845-0100 |
Pooja Kaushik Vani Schleicher, Pediatrics Medicare: Medicare Enrolled Practice Location: 307 S Evergreen Ave, Woodbury, NJ 08096 Phone: 908-522-5665 | |
Dr. Gloria Sue Durelli, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 297 Westwood Dr, Woodbury, NJ 08096 Phone: 856-848-2332 Fax: 856-848-5955 | |
Maximo M. Romen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 509 N Broad St, Woodbury, NJ 08096 Phone: 856-845-0100 | |
Dr. Linda Nell Jones-hicks, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 297 Westwood Dr, Woodbury, NJ 08096 Phone: 856-848-2332 Fax: 856-848-5955 | |
Yuzana Swe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 509 N Broad St, Woodbury, NJ 08096 Phone: 856-845-0100 |