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Individual

DR. GEORGE W.MARK JOBSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
117 MARYS AVE STE 101, KINGSTON, NY 12401-5849
(845) 338-0050
(845) 331-1996
Mailing address
117 MARYS AVE STE 101, KINGSTON, NY 12401-5849
(845) 338-0050
(845) 331-1996

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
166060
NY
207R00000X
Internal Medicine Physician
166060
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01170369
NY
Enumeration date
08/26/2005
Last updated
01/30/2019
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