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NPI Code Detail

MEDICARE: DR. ERIC JAGAR MD

MEDICARE: DR. ERIC JAGAR MD
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
1207R00000XInternal Medicine Physician35.075348OH

General Provider Information

NPI Number : 1861404634
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC JAGAR MD
Provider Business Mailing Address
First Line : 55 W WATERLOO RD
Second Line :
City : AKRON
State : OH
Zip : 44319-1116
Country : US
Telephone Number : 330-724-7715
Fax Number : 330-724-1029
Provider Business Practice Location Address
First Line : 55 W WATERLOO RD
Second Line :
City : AKRON
State : OH
Zip : 44319-1116
Country : US
Telephone Number : 330-724-7715
Fax Number : 330-724-1029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 07/08/2007

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