Individual
DAVID B JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6654
Mailing address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-6654
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
57090
CT
363AS0400X
Surgical Physician Assistant
013441-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/03/2009
Last updated
12/17/2019
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