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Jacob Edward Vaughn, MD
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1306475066

Jacob Edward Vaughn is a Student in an Organized Health Care Education/Training Program based in Maumee, NY. Jacob Edward Vaughn practices in Syracuse, NY and has the professional credentials of MD. The NPI Number for Jacob Edward Vaughn is 1306475066 and holds a License No. (New York).

The current practice location address for Jacob Edward Vaughn is 750 E Adams St, Syracuse, NY and can be reached out via phone at 315-464-1800.

Location: 750 E Adams St, Syracuse, NY, 43537-3508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306475066
Provider Name
Jacob Edward Vaughn
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
750 E Adams St, Syracuse, NY, 43537-3508
Phone Number
315-464-1800
Fax Number
Provider Enumeration Date
04/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-1800
Fax Number
person
Provider Business Mailing Address Details
Address
750 E Adams St
City
Syracuse
State
New York
Zip
13210-2306
Phone Number
315-464-1800
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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