Individual
JOSE ANTONIO CANSECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./PH.D.
Contact information
Practice address
100 K JOHNSON N. BLVD STE 202, BORDENTOWN, NJ 08505-2275
(800) 321-9999
(267) 479-1321
Mailing address
833 CHESTNUT ST STE 520, PHILADELPHIA, PA 19107-4430
(267) 592-6191
(267) 339-3761
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA10763300
NJ
207X00000X
Orthopaedic Surgery Physician
MD469339
PA
207XS0117X
Orthopaedic Surgery of the Spine Physician
25MA10763300
NJ
Other
Enumeration date
04/16/2014
Last updated
06/30/2025
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