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Organization

MOUNT SINAI SCHOOL OF MEDICINE

Active
Other names
TRANSPLANTATION INSTITUTE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOUGLASS A JABS M.D., M.B.A. (CEO FACULTY PRACTICE ASSOCIATES)
(212) 241-6752
Entity
Organization

Contact information

Practice address
5 E 98TH ST, 14TH FLR, NEW YORK, NY 10029-6501
(212) 241-5429
(212) 348-6158
Mailing address
PO BOX 13337, NEWARK, NJ 07101-3337
(212) 352-3856

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
2080T0004X
Pediatric Transplant Hepatology Physician
208600000X
Surgery Physician
2086S0120X
Pediatric Surgery Physician

Other

Enumeration date
08/23/2007
Last updated
03/29/2010
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