Individual
DR. RICHARD JAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MADISON ST, SYRACUSE, NY 13202-2799
(315) 477-4048
Mailing address
440 ALLEN ST, SYRACUSE, NY 13210-2202
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
130749
NY
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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