Individual
MR. JOHN THOMAS JAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(763) 913-0113
Mailing address
PO BOX 130, NEW YORK, NY 10021-0012
(763) 913-0113
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
TBD
NY
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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