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Organization
SHORE ORTHOPEDICS, INC
Active
Organization
SHORE ORTHOPEDICS, INC
Active
Parent organization
SHORE HEALTH SYSTEMS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHORE HEALTH SYSTEMS
Authorized official
JASON J JANCOSKO D.O. (PRESIDENT)
(410) 820-8226
Entity
Organization
Contact information
Practice address
510 IDLEWILD AVE, EASTON, MD 21601-3881
(410) 820-8226
(410) 820-8405
Mailing address
510 IDLEWILD AVE, EASTON, MD 21601-3881
(410) 820-8226
(410) 820-8405
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8740763-00
—
MD
01
—
CF17
CAREFIRST
MD
Enumeration date
04/12/2016
Last updated
12/11/2025
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