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NPI Code Detail

MEDICARE: CRAIG JURASINSKI M.D.

MEDICARE:   CRAIG  JURASINSKI  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
1207ZP0105XClinical Pathology/Laboratory Medicine Physician25MA06219700NJ

General Provider Information

NPI Number : 1225038995
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRAIG JURASINSKI M.D.
Provider Business Mailing Address
First Line : PO BOX 593
Second Line :
City : CAPE MAY COURT HOUSE
State : NJ
Zip : 08210-0593
Country : US
Telephone Number : 609-463-2000
Fax Number :
Provider Business Practice Location Address
First Line : 2 STONE HARBOR BLVD
Second Line :
City : CAPE MAY COURT HOUSE
State : NJ
Zip : 08210-2138
Country : US
Telephone Number : 609-463-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 01/15/2014

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