Keith R Hagan II, PA
Physician Assistant in Egg Harbor Township, New Jersey
1861077133- Practice location
- 2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598
- Phone
- 800-321-9999
- Fax
- 609-677-7000
- Last updated
- March 17, 2021
Keith Richard Hagan is a Physician Assistant based in Egg Harbor Township, NJ. Keith Richard Hagan practices in Egg Harbor Township, NJ and has the professional credentials of PA. The NPI Number for Keith Richard Hagan is 1861077133 and holds a License No. 25MP00608400 (NJ). The current practice location address for Keith Richard Hagan is 2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598 and can be reached out via phone at 800-321-9999 and via fax at 609-677-7000.
Provider Profile Details
- NPI Number
- 1861077133
- Provider Name
- Keith Richard Hagan
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598
- Phone Number
- 800-321-9999
- Fax Number
- 609-677-7000
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 17, 2021
- Last Update Date
- March 17, 2021
- Certification Date
- March 17, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2500 English Creek Ave Ste 1300
Egg Harbor Township, NJ 08234-5598 - State
- New Jersey
- Zip
- 08234-5598
- Phone Number
- 800-321-9999
- Fax Number
- 609-677-7000
Provider Business Mailing Address Details
- Address
- 833 Chestnut St Ste 520
Philadelphia, PA 19107-4430 - City
- Philadelphia
- State
- PA
- Zip
- 19107-4430
- Phone Number
- 267-339-3543
License Information
- License Number
- 25MP00608400
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Keith R Hagan II, PA?
The NPI number of Keith R Hagan II, PA is 1861077133. It was assigned on March 17, 2021 and is currently active in the NPPES registry.
What is the specialty of Keith R Hagan II, PA?
Keith R Hagan II, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00608400.
Where does Keith R Hagan II, PA practice?
The practice location is 2500 English Creek Ave Ste 1300, Egg Harbor Township, NJ 08234-5598. The office can be reached at 800-321-9999 (phone) or 609-677-7000 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861077133 directly on the NPPES registry website.