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Individual

JAN CERNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 LAKE AVE N, DEPT OF HEMATOLOGY/ONCOLOGY, WORCESTER, MA 01655-0002
(774) 442-3903
(774) 442-6715
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
227024
MA
207RH0003X
Hematology & Oncology Physician
Primary
227024
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110073440A
MA
Enumeration date
07/05/2006
Last updated
11/03/2020
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