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
Phone: (508) 870-2222
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326029802 | NPPES |
Massachusetts | MEDICAID | 110081560/A | |
Massachusetts | MEDICAID | 139379518 |
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