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Individual

MARK GIRISH JABLONSKI

Active
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Individual

MARK GIRISH JABLONSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101253063
VA
2085R0202X
Diagnostic Radiology Physician
Primary
35.092647
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002061184
HIGHMARK
PA
05
1021420440001
PA
05
2891545
OH
01
35092647
MEDICAL LICENSE
OH
01
MD434156
MEDICAL LICENSE
PA
Enumeration date
06/29/2007
Last updated
08/01/2023
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