Individual
DR. JACLYN SUSAN JAEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
263 FARMINGTON AVE, GRADUATE MEDICAL EDUCATION - LM068, FARMINGTON, CT 06030-1921
(860) 679-6296
(860) 679-4613
Mailing address
263 FARMINGTON AVE, GRADUATE MEDICAL EDUCATION - LM068, FARMINGTON, CT 06030-1921
(860) 679-6296
(860) 679-4613
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
056802
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2013
Last updated
09/14/2023
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