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NPI Code Detail

MEDICARE: MICHAEL JOHN JARONCZYK M.D.

MEDICARE:   MICHAEL JOHN JARONCZYK  M.D.
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
1208600000XSurgery Physician55233CT
2208600000XSurgery Physician25MA09700800NJ

General Provider Information

NPI Number : 1710203914
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JOHN JARONCZYK M.D.
Provider Business Mailing Address
First Line : 114 WOODLAND ST
Second Line :
City : HARTFORD
State : CT
Zip : 06105-1208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 PROSPECT ST STE 214
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-5003
Country : US
Telephone Number : 732-937-8939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2010
Last Update Date : 04/12/2024

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Directions to “ MICHAEL JOHN JARONCZYK M.D.” Practice Location

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