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1710068036

NPI Code Detail

MEDICARE: DR. ANTHONY E. DRAGUN MD

MEDICARE: DR. ANTHONY E. DRAGUN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	26436	SC
2	2085R0001X	Radiation Oncology Physician	42250	KY
3	2085R0001X	Radiation Oncology Physician	MA2510038000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710068036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY E. DRAGUN MD

Provider Business Mailing Address
First Line	:	1 FEDERAL ST # 200
Second Line	:
City	:	CAMDEN
State	:	NJ
Zip	:	08103-1088
Country	:	US
Telephone Number	:	856-356-4924
Fax Number	:	856-735-6467

Provider Business Practice Location Address
First Line	:	400 HADDON AVE, TWO COOPER PLAZA
Second Line	:	SUITE C 1030
City	:	CAMDEN
State	:	NJ
Zip	:	08103
Country	:	US
Telephone Number	:	855-632-2667
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	10/07/2020

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Directions to “ DR. ANTHONY E. DRAGUN MD” Practice Location

Language	Start Address	Practice Location

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