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Individual

DR. JACQUES JOSAPHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
440 LENOX RD STE 1C, BROOKLYN, NY 11203-2042
(718) 221-6170
(718) 270-3373
Mailing address
5525 98TH ST APT 1G, FLUSHING, NY 11368-3010
(718) 760-8770

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
16180
PR

Other

Enumeration date
06/13/2007
Last updated
07/08/2007
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