Mr. Mark S Jadofsky, PO1
Technician, Other in New London, Connecticut
1912161969- Practice location
- 15 Mohegan Ave, U.s. Caost Guard Academy, New London, CT 06320-0052
- Phone
- 860-444-8402
- Fax
- —
- Last updated
- July 17, 2008
Mark S Jadofsky is a Technician, Other based in New London, CT. Mark S Jadofsky practices in New London, CT and has the professional credentials of PO1. The NPI Number for Mark S Jadofsky is 1912161969. The current practice location address for Mark S Jadofsky is 15 Mohegan Ave, U.s. Caost Guard Academy, New London, CT 06320-0052 and can be reached out via phone at 860-444-8402.
Provider Profile Details
- NPI Number
- 1912161969
- Provider Name
- Mark S Jadofsky
- Credential
- PO1
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 Mohegan Ave, U.s. Caost Guard Academy, New London, CT 06320-0052
- Phone Number
- 860-444-8402
- Primary Taxonomy
- Technician, Other · 247200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 17, 2008
- Last Update Date
- July 17, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Mohegan Ave
U.s. Caost Guard Academy
New London, CT 06320-0052 - City
- New London
- State
- Connecticut
- Zip
- 06320-0052
- Phone Number
- 860-444-8402
Provider Business Mailing Address Details
- Address
- 15 Mohegan Ave
Uscg Academy
New London, CT 06320 - City
- New London
- State
- CT
- Zip
- 06320
- Phone Number
- 860-444-8402
License Information
- Taxonomy
- Technician, Other · 247200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Mark S Jadofsky, PO1?
The NPI number of Mr. Mark S Jadofsky, PO1 is 1912161969. It was assigned on July 17, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Mark S Jadofsky, PO1?
Mr. Mark S Jadofsky, PO1 is registered under the primary taxonomy Technician, Other (code 247200000X).
Where does Mr. Mark S Jadofsky, PO1 practice?
The practice location is 15 Mohegan Ave, U.s. Caost Guard Academy, New London, CT 06320-0052. The office can be reached at 860-444-8402 (phone).
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 1912161969 directly on the NPPES registry website.