Christopher Jakubowski Md Llc | |
244 Main St Meriden CT 06451-5149 | |
(203) 630-9722 | |
(203) 630-9725 |
Full Name | Christopher Jakubowski Md Llc |
---|---|
Speciality | Clinic/Center |
Location | 244 Main St, Meriden, Connecticut |
Authorized Official Name and Position | Krzysztof Jakubowski (OWNER) |
Authorized Official Contact | 2036309722 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Christopher Jakubowski Md Llc 244 Main St Meriden CT 06451-5149 Ph: (203) 630-9722 | Christopher Jakubowski Md Llc 244 Main St Meriden CT 06451-5149 Ph: (203) 630-9722 |
NPI Number | 1932401205 |
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Provider Enumeration Date | 11/18/2010 |
Last Update Date | 11/18/2010 |
Medicare PECOS PAC ID | 5698962561 |
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Medicare Enrollment ID | O20101206000393 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932401205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 036481 (Connecticut) | Primary |
Provider Name | Krzysztof J Jakubowski |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013978691 PECOS PAC ID: 7012104987 Enrollment ID: I20101206000473 |
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