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Individual

JEFFREY D WAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1571 WASHINGTON ST, WATERTOWN, NY 13601-9304
(315) 786-5046
(315) 786-5043
Mailing address
1571 WASHINGTON ST, WATERTOWN, NY 13601-9304
(315) 786-5000
(315) 786-5001

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1524211
NY
2085R0204X
Vascular & Interventional Radiology Physician
1524211
NY

Other

Enumeration date
08/24/2005
Last updated
01/15/2014
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