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NPI Code Detail

MEDICARE: JACK SEES MD

MEDICARE: JACK SEES 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
1207ZP0105XClinical Pathology/Laboratory Medicine PhysicianMD038758EPA
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD038758EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295714921
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACK SEES MD
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-738-6114
Fax Number : 717-738-6533
Provider Business Practice Location Address
First Line : 169 MARTIN AVE
Second Line :
City : EPHRATA
State : PA
Zip : 17522-1734
Country : US
Telephone Number : 717-738-6114
Fax Number : 717-738-6533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 09/18/2023

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