Provider Demographics
NPI:1851357081
Name:LAING, EUTON MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:EUTON
Middle Name:MICHAEL
Last Name:LAING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ANGELA CT
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5753
Mailing Address - Country:US
Mailing Address - Phone:732-745-9900
Mailing Address - Fax:
Practice Address - Street 1:1303 STATE ROUTE 27 STE 2
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3456
Practice Address - Country:US
Practice Address - Phone:732-447-3446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA56439207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5558506Medicaid
F76990Medicare UPIN
762152UKJMedicare ID - Type Unspecified