Search › New Jersey › 183500000X
Kent Eagelton
NPI 1760794648 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1041 Burnt Tavern Rd
Brick, NJ 08724 - Phone
- (732) 836-3021
- Fax
- (732) 836-3067
- Organisation at this address
- Rite Aid Of New Jersey Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey