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Individual

JON D KOMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
116 WESTMINSTER PIKE, SUITE 100, REISTERSTOWN, MD 21136-1027
(410) 833-9300
Mailing address
116 WESTMINSTER PIKE, SUITE 100, REISTERSTOWN, MD 21136-1027
(410) 833-9300

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D55676
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
293403500
MD
Enumeration date
10/13/2005
Last updated
04/03/2014
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