Active NPIIndividual providerSole proprietor

Dr. Gary F Jeznach, MD

Family Medicine in Sturbridge, Massachusetts

NPI Number1124013305
Practice location
118 Main St, Sturbridge, MA 01566-1533
Fax
508-347-5702
Last updated
June 18, 2008

Gary F Jeznach is a Family Medicine based in Sturbridge, MA. Gary F Jeznach practices in Sturbridge, MA and has the professional credentials of MD. The NPI Number for Gary F Jeznach is 1124013305 and holds a License No. 49792 (MA). The current practice location address for Gary F Jeznach is 118 Main St, Sturbridge, MA 01566-1533 and can be reached out via phone at 508-347-5755 and via fax at 508-347-5702.

Provider Profile Details

NPI Number
1124013305
Provider Name
Gary F Jeznach
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
118 Main St, Sturbridge, MA 01566-1533
Phone Number
508-347-5755
Fax Number
508-347-5702
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 14, 2005
Last Update Date
June 18, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
118 Main St
Sturbridge, MA 01566-1533
Zip
01566-1533
Phone Number
508-347-5755
Fax Number
508-347-5702
Sturbridge, MA 01566Get directions →

Provider Business Mailing Address Details

Address
118 Main St
Sturbridge, MA 01566-1533
City
Sturbridge
State
MA
Zip
01566-1533
Phone Number
508-347-5755
Fax Number
508-347-5702

License Information

License Number
49792
License State
MA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gary F Jeznach, MD?

The NPI number of Dr. Gary F Jeznach, MD is 1124013305. It was assigned on September 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Gary F Jeznach, MD?

Dr. Gary F Jeznach, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 49792.

Where does Dr. Gary F Jeznach, MD practice?

The practice location is 118 Main St, Sturbridge, MA 01566-1533. The office can be reached at 508-347-5755 (phone) or 508-347-5702 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124013305 directly on the NPPES registry website.

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