Individual
JAROSLAV PAUL MIKUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
322 E CENTER ST, WEST BRIDGEWATER, MA 02379-1824
(508) 894-0400
(508) 565-3121
Mailing address
322 E CENTER ST, WEST BRIDGEWATER, MA 02379-1824
(508) 894-0400
(508) 565-3121
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35041
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033984
—
MA
Enumeration date
12/09/2005
Last updated
07/08/2007
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