# GEORGE BRINNIG JASTRZEBSKI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1356320048
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 045360 | CT | — |
| 207W00000X | Ophthalmology Physician | ME 124499 | FL | Yes |

## Other

- **Enumeration date:** 01/11/2006
- **Last updated:** 11/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2035031 | — | MA |
| 01 | — | 4221675 | AETNA/US HEALTHCARE | — |
| 01 | — | A36482 | MEDICARE B | — |
| 01 | — | J27482 | BLUE SHIELD HMO BLUE | — |