Individual
MR. JACOB E BIESZCZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5757 PARK CENTER CT., TOLEDO, OH 43615
(419) 474-4064
(419) 472-2772
Mailing address
5757 PARK CENTER CT., TOLEDO, OH 43615
(419) 474-4064
(419) 472-2772
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
121217
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075653
—
OH
Enumeration date
07/01/2009
Last updated
03/07/2023
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