Individual
RANDEEP S JAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
STONY BROOK SURGICAL ASSOCIATES UFPC, SBUMC HSC LEVEL 19, RM 020, STONY BROOK, NY 11794-8191
(631) 444-7875
Mailing address
STONY BROOK SURGICAL ASSOCIATES UFPC, SBUMC HSC LEVEL 19, RM 020, STONY BROOK, NY 11794-8191
(631) 444-7875
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
230785
NY
2086S0102X
Surgical Critical Care Physician
230785
NY
2086S0127X
Trauma Surgery Physician
230785
NY
Other
Enumeration date
02/28/2006
Last updated
09/06/2013
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