Individual
DR. ARCHIMEDES B JAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2640 PITKIN AVE, BROOKLYN, NY 11208-2629
(718) 827-8700
Mailing address
569 ASHLAND AVE, NORTH BALDWIN, NY 11510-2624
(347) 331-2829
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
245608
NY
Other
Enumeration date
12/11/2009
Last updated
04/16/2014
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