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Individual

SOMASUNDARAM JAYABOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
121557
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00228120
NY
05
1016681230002
PA
05
7169701
NJ
Enumeration date
07/22/2005
Last updated
09/26/2008
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