Individual
DR. JESSICA LYNN PASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
107 S SPORTING HILL RD, MECHANICSBURG, PA 17050-3058
(717) 943-1781
Mailing address
13620 CRAYTON BLVD STE A, HAGERSTOWN, MD 21742-2335
(240) 313-3100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101270455
VA
207R00000X
Internal Medicine Physician
D82674
MD
207R00000X
Internal Medicine Physician
Primary
MD452977
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029596620001
—
PA
01
—
391960
MEDICARE FQHC
PA
Enumeration date
06/29/2009
Last updated
12/11/2023
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