Individual
JASON NICK KANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2063911
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA12012200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01769300
—
NY
Enumeration date
08/09/2005
Last updated
12/09/2024
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