Individual
JAN GASPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-9000
Mailing address
4627 AUTUMN WOODS WAY, ELLICOTT CITY, MD 21043-6771
(213) 663-3860
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
PENDING
MD
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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