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NPI Code Detail

MEDICARE: ABBIGAIL JAEGER

MEDICARE: ABBIGAIL JAEGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician24089ND
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1265174213
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBIGAIL JAEGER
Provider Business Mailing Address
First Line : 1000 MONTAUK HWY
Second Line :
City : WEST ISLIP
State : NY
Zip : 11795-4927
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5225 23RD AVE S
Second Line :
City : FARGO
State : ND
Zip : 58104-7927
Country : US
Telephone Number : 701-417-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2022
Last Update Date : 05/11/2026

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