George J Jacewicz, M. D., INC

NPI #1447502729 in Warwick, Rhode Island

Provider Information

NPI Number: 1447502729
Entity Type: Organization
Organization Name: George J Jacewicz, M. D., INC
Primary Specialty: Otolaryngology
Enumeration Date: Oct 10, 2012
Last Updated: Sep 6, 2013

Practice Location

Address: 95 TOLL GATE RD
City: Warwick
State: Rhode Island
ZIP Code: 02886-4443
Phone: (401) 738-6111

Authorized Official

Name: GEORGE J JACEWICZ, M.D.
Title: OWNER
Phone: (401) 738-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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