Jack Oscar Piasecki M.D.

NPI 1659416741 - Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X

NPI Details
NPI 1659416741
Gender Male
Enumeration Date 02/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
17400 IRVINE BLVD
SUITE L
TUSTIN CA, 92780-3030, US
Phone (714) 508-1112
Fax (714) 508-3653
Business Location
17400 IRVINE BLVD
SUITE L
TUSTIN CA, 92780-3030, US
Phone (714) 508-1112
Fax (714) 508-3653
Toxanomy
Taxonomy Code 204C00000X
License State California
License Number G53516
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According to our database, Dr. Jack Oscar Piasecki M.D. NPI is 1659416741, taxonomy code is 204C00000X and license number is G53516, license state is located at California. Jack Oscar Piasecki M.D. physically located at 17400 Irvine Blvd, Tustin CA, 92780-3030. NPI Number Jack Oscar Piasecki M.D. has the Individual type.

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1659416741 NPI number is provided on an as is basis without warranty of any kind. 1659416741 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Oscar Piasecki M.D. are for informational purposes only.