Individual provider · Type 1 NPI

Dylan Bagley

Student in an Organized Health Care Education/Training Program · Stratford, NJ

NPI number 1407710122 Active

Practice location

1 Medical Center Dr
Stratford, NJ 08084-1500

Call (856) 566-7050 Map

Mailing address

1003A Harwood Ct
Mount Laurel, NJ 08054-2610

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407710122

Dylan Bagley's National Provider Identifier is 1407710122, issued on Dec 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Stratford, NJ. The record was last updated on Dec 16, 2025.