Individual
DR. MATTHEW JOSEPH JAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5483 MOORETOWN RD, WILLIAMSBURG, VA 23188
(757) 941-6400
(757) 941-6419
Mailing address
860 OMNI BLVD, STE 303, NEWPORT NEWS, VA 23606-4477
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101239117
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010221617
—
VA
01
—
188225
ANTHEM BCBS
VA
01
—
P00276380
RR MEDICARE
VA
Enumeration date
05/11/2006
Last updated
07/13/2018
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