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NPI Code Detail

MEDICARE: DR. IRENE RUSU JUTAGIR MD

MEDICARE:  DR. IRENE  RUSU JUTAGIR  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician262327NY

General Provider Information

NPI Number : 1083915060
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRENE RUSU JUTAGIR MD
Provider Business Mailing Address
First Line : 8721 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5109
Country : US
Telephone Number : 718-221-2020
Fax Number :
Provider Business Practice Location Address
First Line : 8721 4TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5109
Country : US
Telephone Number : 718-221-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2010
Last Update Date : 10/09/2020

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Directions to “ DR. IRENE RUSU JUTAGIR MD” Practice Location

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