Individual provider · Type 1 NPI

Jerry Jacob George, DO

Hematology & Oncology Physician · Port Jefferson Station, NY

NPI number 1972765733 Active

Practice location

49 Nesconset Hwy
Port Jefferson Station, NY 11776-2628

Fax (631) 509-6559

Mailing address

1500 Route 112 Bldg 4
Port Jefferson Station, NY 11776-8055

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X249204 (NY)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1972765733

Jerry Jacob George, DO's National Provider Identifier is 1972765733, issued on Jul 1, 2008. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jan 17, 2020.