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Individual

RONALD JASIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
HSC L4-060, STONY BROOK UNIVERSITY, STONY BROOK, NY 11790-8480
(631) 444-2975
Mailing address
HSC L4-060, STONY BROOK UNIVERSITY, STONY BROOK, NY 11790-8480

Taxonomy

Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
194400-1
NY

Other

Enumeration date
05/15/2006
Last updated
07/08/2007
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