Provider Demographics
NPI:1538459995
Name:EGGERT, BRYAN G (MD)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:G
Last Name:EGGERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 LAKEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-8020
Mailing Address - Country:US
Mailing Address - Phone:732-240-0053
Mailing Address - Fax:732-202-3015
Practice Address - Street 1:501 LAKEHURST RD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-8020
Practice Address - Country:US
Practice Address - Phone:732-240-0053
Practice Address - Fax:732-202-3015
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA089007002085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology