# DR. MARK ROBERT JAJKOWSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1073628244
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 210052 | NY | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 12/06/2018

## 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 |