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Individual

DR. MARK JAY SASLAWSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
995 S YATES RD, STE. 1, MEMPHIS, TN 38119-0882
(901) 527-7100
(901) 527-7124
Mailing address
995 S YATES RD, STE. 1, MEMPHIS, TN 38119-0882
(901) 527-7100
(901) 527-7124

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
011984
MS
208800000X
Urology Physician
Primary
019044
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0083556
BCBS
TN
05
3033803
TN
01
P00420822
RR MEDICARE
TN
Enumeration date
08/19/2006
Last updated
11/28/2007
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