Individual
GERALD L WASKO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 WICK AVE, YOUNGSTOWN, OH 44503-1002
(330) 747-4660
(330) 747-4661
Mailing address
330 WICK AVE, YOUNGSTOWN, OH 44503-1002
(330) 941-3489
(330) 941-3186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.129246
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177005
—
OH
Enumeration date
07/19/2013
Last updated
09/06/2023
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