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1972765733
JERRY JACOB GEORGE
PORT JEFFERSON STATION, NY
NPI
1972765733
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: NY 249204)
Enumeration Date
2008-07-01
Last Update Date
2020-01-17
Business Address
JERRY JACOB GEORGE D.O.
49 NESCONSET HWY
PORT JEFFERSON STATION, NY 11776-2628
Phone number: 631-751-3000
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Mailing Address
JERRY JACOB GEORGE D.O.
1500 ROUTE 112 BLDG 4
PORT JEFFERSON STATION, NY 11776-8055
Phone number: 631-751-0000
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