Individual
NICHOLAS ADAM JABCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11804 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3311
(410) 870-5094
Mailing address
134 LIMESTONE DR, BELLEFONTE, PA 16823-7540
(814) 470-0253
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/06/2021
Last updated
09/06/2021
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