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NPI Code Detail

MEDICARE: JEROME E SAG MD

MEDICARE:   JEROME E SAG  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 PhysicianMD017164EPA

General Provider Information

NPI Number : 1093760845
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEROME E SAG MD
Provider Business Mailing Address
First Line : 1101 S BROAD ST
Second Line :
City : LANSDALE
State : PA
Zip : 19446-5393
Country : US
Telephone Number : 215-361-5010
Fax Number : 267-517-9029
Provider Business Practice Location Address
First Line : 1101 S BROAD ST
Second Line :
City : LANSDALE
State : PA
Zip : 19446-5393
Country : US
Telephone Number : 215-361-5010
Fax Number : 267-517-9029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 04/06/2016

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Directions to “ JEROME E SAG MD” Practice Location

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