DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEITH RICHARD HAGAN II, PA

Active Sole Proprietor

KEITH RICHARD HAGAN II, PA is a Physician Assistant healthcare provider located in EGG HARBOR TOWNSHIP, New Jersey. NPI 1861077133 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EGG HARBOR TOWNSHIP, NJ

Registration Details

NPI Number
1861077133
Provider Type
Individual
Gender
Male
NPI Issued
Mar 17, 2021 (5.4064952348547 yrs)
Last Updated
Mar 17, 2021
License
25MP00608400 (NJ)
Sole Proprietor
Yes

Practice Information

Address
2500 ENGLISH CREEK AVE STE 1300
EGG HARBOR TOWNSHIP, NJ, 082345598
Browse NJ providers · Browse ZIP 08234
Phone
8003219999
Fax
6096777000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in EGG HARBOR TOWNSHIP, NJ

Name Credential NPI
MS. GINA D'AIELLO P.A. 1962602813
MRS. MICHELLE L. MUNYON PA-C 1659507762
MRS. DEVON MARIE RUTHERFORD PA-C 1790066637
CONOR B LUSKIN PA-C 1821371360
MARIAH GRACE SYKES P.A.-C 1437435872
MS. FRANCESCA DIPAOLA P.A.-C 1386993517
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.