Individual
DR. JAN QUAEGEBEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3959 BROADWAY, BHN ROOM 276, NEW YORK, NY 10032-1559
(212) 305-2417
(212) 342-5263
Mailing address
PO BOX 27036, BHN ROOM 276, NEW YORK, NY 10087-7036
(212) 305-2417
(212) 342-5262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
189014-1
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
189014-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1400664
—
NY
Enumeration date
06/08/2006
Last updated
12/06/2016
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