Provider Demographics
NPI:1942396478
Name:NAGER, ERIC
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:NAGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8303 PULASKI HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2962
Mailing Address - Country:US
Mailing Address - Phone:443-707-2202
Mailing Address - Fax:
Practice Address - Street 1:8303 PULASKI HWY
Practice Address - Street 2:SUITE A
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-2962
Practice Address - Country:US
Practice Address - Phone:443-707-2202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD51014207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G28873Medicare UPIN
MD761L57SSMedicare PIN