Individual
DR. JACOB N MACIEJEWSKI
Active
Individual
DR. JACOB N MACIEJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.093510
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000625705
ANTHEM
OH
01
—
05815
PHC
—
05
—
2950230
—
OH
01
—
9708368
AETNA
OH
Enumeration date
07/11/2008
Last updated
11/03/2023
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