MEDICARE: JAN NAJDZIONEK 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
1	2085R0202X	Diagnostic Radiology Physician	173965	NY

General Provider Information

NPI Number	:	1497739833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAN NAJDZIONEK MD

Provider Business Mailing Address
First Line	:	100 COLLEGE PKWY
Second Line	:	SUITE 180
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-6800
Country	:	US
Telephone Number	:	716-636-1902
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 COLLEGE PKWY
Second Line	:	SUITE 180
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-6800
Country	:	US
Telephone Number	:	716-636-1902
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	04/23/2008

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