Individual
DR. PATRICIA TAGER
Active
Individual
DR. PATRICIA TAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA06662700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004467
MEDICARE PTAN
NJ
01
—
5160612
AETNA PPO
NJ
05
—
7510403
—
NJ
01
—
P5543196
OXFORD
NJ
Enumeration date
05/11/2006
Last updated
08/04/2021
Update your record
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