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Individual

DR. JAN DOMBROWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 RED CREEK DR, SUITE 101, ROCHESTER, NY 14623
(585) 486-0600
(585) 486-0649
Mailing address
601 ELMWOOD AVE, BOX 647, ROCHESTER, NY 14642-0001
(585) 486-0600
(585) 486-0649

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
190272
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01565562
NY
01
101432FE
PREFERRED CARE
NY
01
4451073
AETNA
NY
01
920006594
PALMETTO GBA-RAILROAD MC
GA
01
920007535
PALMETTO GBA-RAILROAD MC
GA
01
P010190272
BLUE CHOICE
NY
01
P020190272
BLUE SHIELD
NY
Enumeration date
05/19/2006
Last updated
07/03/2023
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