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Organization
JEAN-CLAUDE JEAN MD PC
Active
Organization
JEAN-CLAUDE JEAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN-CLAUDE JEAN MD (OWNER)
(718) 712-6660
Entity
Organization
Contact information
Practice address
11572 FRANCIS LEWIS BLVD, JAMAICA, NY 11411-1028
(718) 712-6660
(718) 712-3478
Mailing address
115 72 FRANCIS LEWIS BLVD, JAMAICA, NY 11411-1028
(718) 712-6660
(718) 712-3478
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00773611
—
NY
Enumeration date
03/27/2012
Last updated
03/27/2012
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