| James W Eagan Jr, MD | |
|
7601 Osler Dr, Towson, MD 21204-7700 | |
| (410) 337-1000 | |
| Not Available |
| Full Name | James W Eagan Jr |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 7601 Osler Dr, Towson, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811060791 | NPI | - | NPPES |
| R4270001 | Other | DC | GHI |
| 312241700 | Medicaid | MD | |
| 60322601 | Other | MD | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | D0014873 (Maryland) | Primary |
| Entity Name | St. Joseph Pathology Associates, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124191093 PECOS PAC ID: 3971546656 Enrollment ID: O20050603000260 |
| Mailing Address | Practice Location Address |
|---|---|
| James W Eagan Jr, MD 7601 Osler Dr, Towson, MD 21204-7700 Ph: (410) 337-1000 | James W Eagan Jr, MD 7601 Osler Dr, Towson, MD 21204-7700 Ph: (410) 337-1000 |
David A Brinker, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-1000 | |
Zhen Fan, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-1000 | |
Steven R Axe, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-337-1000 | |
Fowza Taqi, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 7601 Osler Dr, Towson, MD 21204 Phone: 410-377-1000 | |
Dr. Clarence D Miller, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1026 Green Acre Rd, Towson, MD 21286 Phone: 410-821-1673 |