DR. Mark J Jagust, M.D.
NPI #1467493494 in Lake Grove, New York
Provider Information
- NPI Number
- 1467493494
- Entity Type
- Individual
- Name
- DR. Mark J Jagust, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Aug 10, 2010
Practice Location
- Address
- 2835 MIDDLE COUNTRY RD
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-2105
- Phone
- (631) 467-3564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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