Organization
DOUBLE J SQUARED
Active
Organization
DOUBLE J SQUARED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH JAROS M.D. (PHY)
(505) 323-8100
Entity
Organization
Contact information
Practice address
11110 SAN RAFAEL AVE NE, ALBUQUERQUE, NM 87122-2400
(505) 323-8100
Mailing address
11110 SAN RAFAEL AVE NE, ALBUQUERQUE, NM 87122-2400
(505) 323-8100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
90-216
NM
207L00000X
Anesthesiology Physician
90-216
NY
207R00000X
Internal Medicine Physician
90-216
NM
208100000X
Physical Medicine & Rehabilitation Physician
90-216
NM
2083X0100X
Occupational Medicine Physician
90-216
NM
208D00000X
General Practice Physician
90-216
NM
208VP0014X
Interventional Pain Medicine Physician
90-216
NM
Other
Enumeration date
10/22/2011
Last updated
10/22/2011
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