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Individual

JAN M SLOMBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
355 OVINGTON AVE, SUITE 203, BROOKLYN, NY 11209-1483
(718) 759-0108
(718) 759-0109
Mailing address
355 OVINGTON AVE, SUITE 203, BROOKLYN, NY 11209-1483
(718) 759-0108
(718) 759-0109

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
228292
NY
208VP0000X
Pain Medicine Physician
Primary
228292
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02431652
NY
Enumeration date
11/30/2005
Last updated
06/13/2014
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