Individual
JASON PAUL CERVENKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10807 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4591
(410) 321-9393
Mailing address
10807 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4591
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D75423
MD
Other
Enumeration date
03/31/2010
Last updated
02/19/2016
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