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Individual
DR. MARK ROBERT JAJKOWSKI
Active
Individual
DR. MARK ROBERT JAJKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
210052
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026371301
UNIVERA
NY
01
—
000527369001
BLUE CROSS/BLUE SHIELD
NY
01
—
010549324
GHI
NY
05
—
02414840
—
NY
01
—
040426002783
FIDELIS
NY
01
—
1811716
INDEPENDENT HEALTH
NY
Enumeration date
08/20/2006
Last updated
12/06/2018
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