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Individual

DR. JONATHAN EE YAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3023 HAMAKER CT, SUITE 100, FAIRFAX, VA 22031-5216
(703) 641-9161
(703) 641-0383
Mailing address
3023 HAMAKER CT, SUITE 100, FAIRFAX, VA 22031-5216
(703) 641-9161
(703) 641-0383

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101237803
VA
207RC0000X
Cardiovascular Disease Physician
200300917
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010
CAREFIRST
05
010145104
VA
01
177226
ANTHEM
01
2131272
MDIPA
01
2518145
UNITED HEALTHCARE
01
3780441
AETNA HMO
01
541977219
UNITED HEALTHCARE
01
5726
CAREFIRST
01
6069437
CIGNA
01
7529665
AETNA PPO
Enumeration date
09/29/2006
Last updated
12/22/2009
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