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Individual
JEROME B DEGEN
Active
Individual
JEROME B DEGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
07054
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070540
—
SC
Enumeration date
12/03/2007
Last updated
12/04/2007
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