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Individual
DR. THOMAS A. YAEGER
Active
Individual
DR. THOMAS A. YAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
196641-1
NY
207Q00000X
Family Medicine Physician
Primary
MD052144L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014575470001
—
PA
05
—
01464740
—
NY
01
—
080160029
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039851
PA MEDICARE GROUP
PA
01
—
P00405508
RR MEDICARE PIN
NY
Enumeration date
02/28/2006
Last updated
11/21/2014
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