Individual
DR. MARK ROBERT JAJKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2695 HARLEM RD, CHEEKTOWAGA, NY 14225-4021
(716) 332-3505
(716) 332-3509
Mailing address
515 ABBOTT RD, STE 310, BUFFALO, NY 14220-1700
(716) 332-3505
(716) 332-3509
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
210052
NY
Other
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
Enumeration date
08/20/2006
Last updated
12/06/2018
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