Individual provider · Type 1 NPI
Olga Josephine Jacques
Adult Medicine Physician · Bronx, NY
NPI number
1508213992
Active
Practice location
260 E 188th St
Bronx, NY 10458-5302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 299595 (NY) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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About NPI 1508213992
Olga Josephine Jacques's National Provider Identifier is 1508213992, issued on May 16, 2016. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Bronx, NY. The record was last updated on Sep 30, 2019.