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Individual

DR. PETER S.C. DE JAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
830 WASHINGTON ST, WATERTOWN, NY 13601-4034
(315) 785-4000
Mailing address
1116 ARSENAL ST, SUITE 504, WATERTOWN, NY 13601-2229
(315) 782-2620
(315) 788-4980

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
002948
NY

Other

Enumeration date
10/03/2007
Last updated
10/03/2007
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