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NPI Code Detail

MEDICARE: DAVID LOUIS JAROSZEWSKI MD

MEDICARE: DAVID LOUIS JAROSZEWSKI 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
1208VP0000XPain Medicine Physician98009818NC
2207Q00000XFamily Medicine Physician98009818NC

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 : 1831136811
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID LOUIS JAROSZEWSKI MD
Provider Business Mailing Address
First Line : 645 N MAIN ST
Second Line :
City : HIGH POINT
State : NC
Zip : 27260-5017
Country : US
Telephone Number : 336-883-0029
Fax Number :
Provider Business Practice Location Address
First Line : 5093 UNIVERSITY PKWY
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27106-6085
Country : US
Telephone Number : 336-883-0029
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 12/14/2021

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