Provider Demographics
NPI:1093219537
Name:JAZAERLY, MAJD (MD)
Entity type:Individual
Prefix:DR
First Name:MAJD
Middle Name:
Last Name:JAZAERLY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVENUE
Mailing Address - Street 2:BOX 679
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642
Mailing Address - Country:US
Mailing Address - Phone:585-275-4290
Mailing Address - Fax:585-473-1573
Practice Address - Street 1:601 ELMWOOD AVENUE
Practice Address - Street 2:# 679
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642
Practice Address - Country:US
Practice Address - Phone:585-275-4290
Practice Address - Fax:585-473-1573
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME148196207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine