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Individual
JAY INGRAM
Active
Individual
JAY INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042.0016745
VT
207Q00000X
Family Medicine Physician
35.133104
OH
Other
Enumeration date
04/06/2015
Last updated
04/05/2023
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