Jac, Jaroslaw

Jac, Jaroslaw is an individual health care provider with primary practice located at 150 Flanders Rd , Westborough MA 01581-1017. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Jac, Jaroslaw can be contacted via phone (508) 870-2222.

Contact Information

Primary practice address
150 Flanders Rd Westborough MA 01581-1017
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 238060 Massachusetts
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X J9106 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 238060 Massachusetts

Profile Details

NPI number 1326029802
LBN Legal business name Jac, Jaroslaw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jan 2nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326029802 NPPES
Massachusetts MEDICAID 110081560/A
Massachusetts MEDICAID 139379518

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