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Organization
RONALD JACQUES MD PC
Active
Organization
RONALD JACQUES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD JACQUES (MD)
(718) 421-1003
Entity
Organization
Contact information
Practice address
3009 GLENWOOD RD, BROOKLYN, NY 11210-2641
(718) 421-1003
Mailing address
3009 GLENWOOD RD, BROOKLYN, NY 11210-2641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
155412
NY
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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