Organization
JACK JEDWAB MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK JEDWAB MD (PRESIDENT)
(718) 377-7575
Entity
Organization
Contact information
Practice address
2270 KIMBALL ST, BROOKLYN, NY 11234-5139
(718) 377-7575
Mailing address
2270 KIMBALL ST, BROOKLYN, NY 11234-5139
(718) 377-7575
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
139976
NY
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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