Mark J Jagust is a Family Medicine in Lake Grove, New York. Mark J Jagust practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark J Jagust is 1467493494. The last update date is 2010-08-10.
Mark J Jagust's current location address is 2835 Middle Country Rd, Lake Grove, New York. You can contact this provider via phone number 6314673564 and fax number 6314712236. The mailing address for Mark J Jagust is 2835 Middle Country Rd, Lake Grove, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark J Jagust |
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Address | 2835 Middle Country Rd, Lake Grove, New York |
Phone Number | 6314673564 |
Fax Number | 6314712236 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1467493494 |
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Provider Enumeration Date | 2006-06-09 |
Last Updated Date | 2010-08-10 |
Provider Mailing Address Detail
Address | 2835 Middle Country Rd |
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City | Lake Grove |
State | New York (NY) |
Post Code | 117552105 |
Phone Number | 6314673564 |
Fax Number | 6314712236 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 178630 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identifier code issued to Mark J Jagust by the Centers for Medicare & Medicaid Services?
The Mark J Jagust has been assigned the NPI (National Provider Identifier) 1467493494. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark J Jagust is located?
The Mark J Jagust is situated at the following address: 2835 Middle Country Rd, Lake Grove, NY, 117552105.
What is Mark J Jagust's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark J Jagust is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Mark J Jagust receive its 1467493494 assignment from the Centers for Medicare & Medicaid Services?
The Mark J Jagust was assigned its 1467493494 by the Centers for Medicare & Medicaid Services on 2006-06-09.
As of what date were the Mark J Jagust's details last updated?
The information pertaining to the Mark J Jagust, including its address, specialty, and other details, was most recently updated on 2010-08-10.