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Individual
WILLIAM JORGENSEN
Active
Individual
WILLIAM JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
199505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01677590
—
NY
01
—
080176533
RRMCR
—
Enumeration date
10/24/2005
Last updated
11/19/2014
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