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Individual

DR. JOHN JOSEPH LASKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 CHESLEY DR, SUITE 100, MEDIA, PA 19063-1761
(610) 566-7111
(610) 891-6735
Mailing address
101 CHESLEY DR, SUITE 100, MEDIA, PA 19063-1761
(610) 566-7111
(610) 891-6735

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD014171E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0956511
AETNA
PA
Enumeration date
07/07/2005
Last updated
06/09/2010
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