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Individual

JASON L. GERBOC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
OS012897
PA
208800000X
Urology Physician
Primary
OS12668
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101228162 0002
PA
05
1012281620001
PA
01
1724365
HIGHMARK BLUE SHIELD
PA
01
2392880000
KEYSTONE IBC
PA
01
8460478
AETNA HMO
PA
01
P00226465
RAILROAD MEDICARE
PA
01
P01092454
RAILROAD MEDICARE
PA
Enumeration date
08/18/2006
Last updated
08/20/2014
Update your record

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