Jeffrey R Jaeger in Philadelphia - Addiction Medicine
Jeffrey R Jaeger - NPI 1265469175
Jeffrey R Jaeger is a Addiction Medicine in Philadelphia, Pennsylvania. Jeffrey R Jaeger practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Jeffrey R Jaeger is 1265469175. The last update date is 2023-02-10.
Jeffrey R Jaeger's current location address is 3701 Market St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2153495600. The mailing address for Jeffrey R Jaeger is 3701 Market St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey R Jaeger |
|---|---|
| Address | 3701 Market St, Philadelphia, Pennsylvania |
| Phone Number | 2153495600 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1265469175 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2023-02-10 |
Provider Mailing Address Detail
| Address | 3701 Market St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 19104 |
| Phone Number | 2153495600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | MD053632L |
|
Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16568270004 | PA | -- |
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What is the unique identifier code issued to Jeffrey R Jaeger by the Centers for Medicare & Medicaid Services?
The Jeffrey R Jaeger has been assigned the NPI (National Provider Identifier) 1265469175. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jeffrey R Jaeger?
The Jeffrey R Jaeger is situated at 3701 Market St, in the city of Philadelphia, state of PA, with the zip code 19104.
What is the Jeffrey R Jaeger's specialty and taxonomy code?
The Jeffrey R Jaeger's specialty is Addiction Medicine, and the corresponding taxonomy code is 207Ra0401X.
When was the Jeffrey R Jaeger's 1265469175 issued?
The Jeffrey R Jaeger's 1265469175 was issued on 2006-06-27.
As of what date were the Jeffrey R Jaeger's details last updated?
The information pertaining to the Jeffrey R Jaeger, including its address, specialty, and other details, was most recently updated on 2023-02-10.
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