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Individual

ADAM D JARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 393-3600
Mailing address
112 CAROLINE ST, OGDENSBURG, NY 13669-1508

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
184661-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02728843
NY
Enumeration date
06/23/2006
Last updated
06/17/2009
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