JAROSLAW JAC (NPI# 1326029802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326029802 |
Entity Type | Individual |
Full Name | JAROSLAW JAC |
Credential | M.D. |
Practice Address |
150 Flanders Rd Westborough MA 01581-1017 |
Mailing Address |
15 Hospital Dr York ME 03909-1011 |
Practice Telephone | 5088702222 |
Mailing Telephone | 2073512478 |
Mailing Fax Number | 2073512216 |
Enumeration Date | 2005-11-10 |
Last Update Date | 2019-01-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 238060 | MA | Allopathic & Osteopathic Physicians |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
238060 | MA | Allopathic & Osteopathic Physicians |
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
J9106 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 139379518 | 05 | |
MA | 110081560/A | 05 |
Street Address |
150 FLANDERS RD |
City | WESTBOROUGH |
State | MA |
Zip Code | 01581-1017 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770108250 | Michael Hoang | Pharmacist | 150 Flanders Rd, Westborough, MA 01581-1017 | 2020-06-10 |
1679124937 | Erin Elizabeth Jones | Physical Therapist | 150 Flanders Rd, Westborough, MA 01581-1017 | 2019-09-26 |
1649735804 | Metro West Rehab Corp | Pharmacy | 150 Flanders Rd, Westborough, MA 01581-1017 | 2019-02-01 |
1902308174 | Whittier Rehabilitation Hospital | Clinic/Center | 150 Flanders Rd, Westborough, MA 01581-1017 | 2018-03-05 |
1679908412 | Regina Mary Raymond | Physical Therapist | 150 Flanders Rd, Westborough, MA 01581-1017 | 2013-09-12 |
1942562111 | Metro West Rehab Corp | Skilled Nursing Facility | 150 Flanders Rd, Westborough, MA 01581-1017 | 2012-06-13 |
1487948766 | Jennifer Lynn Martin | Physical Therapist | 150 Flanders Rd, Westborough, MA 01581-1017 | 2011-06-05 |
1760783575 | Metro West Rehab Corp | Rehabilitation Unit | 150 Flanders Rd, Westborough, MA 01581-1017 | 2010-11-10 |
1518271485 | Eriola Terova | Internal Medicine | 150 Flanders Rd, Westborough, MA 01581-1017 | 2010-08-03 |
1619116308 | Samina B Khan | Audiologist | 150 Flanders Rd, Westborough, MA 01581-1017 | 2009-02-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043791957 | Colby Schulz | Occupational Therapist | Kindred Transitional Care - Therapy Department, 8 Colonial Drive, Westborough, MA 01581 | 2018-08-28 |
1134621055 | Rachel Bennet | Counselor | 288 Lyman Street, Allen Hall- Suite 2, Westborough, MA 01581 | 2018-03-07 |
1003318031 | Adrienne Gladding | Social Worker | 288 Lynam St, Suite 2, Westborough, MA 01581 | 2018-03-06 |
1760997670 | Westborough Dental Partners, P.C. | Dentist | 176 E Main St Ste 2, Westborough, MA 01581 | 2017-12-14 |
1578912432 | Daylene Marshall | Counselor | 155a Oak Street, Westborough, MA 01581 | 2016-06-10 |
1366890709 | Autism Resource &therapy Center | Behavioral Analyst | 1900 West Park Dr, Westborough, MA 01581 | 2016-05-26 |
1649699802 | Jean Breen | Counselor | 154 Oak Street, Westboro, MA 01581 | 2014-04-15 |
1760772123 | Ayon Bose | Counselor | 45 Lyman St Ste 11, Westborough, MA 01581 | 2011-04-19 |
1437472917 | Sharon Levesque Courville | Social Worker | 5 East Main St., Ste. 3, Westborough, MA 01581 | 2010-03-11 |
1063645844 | Town of Westborough | Counselor | 45 West Main St, Westborough, MA 01581 | 2009-08-27 |
Find all providers in zip 01581 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699305615 | Donghui L Yu | Internal Medicine | 1500 District Ave Ste 2119, Burlington, MA 01803-5069 | 2020-01-17 |
1689191090 | Clinton Wayne Lewis | Internal Medicine | 450 Brookline Ave # 2-058, Boston, MA 02215-5418 | 2017-08-25 |
1306208905 | Gregory Ivan Berk | Internal Medicine | 133 Claybrook Rd, Dover, MA 02030-2116 | 2016-03-23 |
1457732711 | Camille Johnson | Internal Medicine | Section of Hematology and Oncology Bu/bmc Cancer Center, Boston University 650 Albany St, Ebrc 406, Boston, MA 02118 | 2015-06-12 |
1073946018 | Howard George Goldsweig | Internal Medicine | 2400 Beacon St Unit 213, Chestnut Hill, MA 02467-1469 | 2013-08-13 |
1861745796 | Benjamin Koziner | Internal Medicine | 11 Farmington Ave, Haverhill, MA 01832-8608 | 2012-10-16 |
1962768812 | Elizabeth Paige Walsh | Internal Medicine | 2443 Massachusetts Ave, Apt 3, Cambridge, MA 02140-1132 | 2012-04-04 |
1457669293 | Plymouth Medal Group Inc | Internal Medicine | 71 Commercial St, Ste 307, Boston, MA 02109-1320 | 2010-09-14 |
1295060812 | Abraham Mark Colb | Internal Medicine | 226 Wren St, West Roxbury, MA 02132-2716 | 2009-10-15 |
1962646307 | Anna Berkenblit | Internal Medicine | 35 Cambridge Park Dr., Cambridge, MA 02140 | 2009-04-29 |
Find all providers with the same taxonomy |
City | WESTBOROUGH |
Zip Code | 01581 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.