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Organization

JANE KUGACZEWSKI, MD PEDICATRIC SURGERY P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANE KUGACZEWSKI M.D. (PEDIATRIC SURGEON)
(631) 689-5695
Entity
Organization

Contact information

Practice address
2500 RTE 347, BLDG 16B, SUITE 62, STONY BROOK, NY 11790-2555
(631) 689-5695
(631) 689-3073
Mailing address
8A OLD FIELD RD, SETAUKET, NY 11733-2280
(631) 689-5695
(631) 689-3073

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary

Other

Enumeration date
03/18/2008
Last updated
03/18/2008
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