Organization
MOGERMAN JASON ORTHOPAEDIC INSTITUTE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY A MOGERMAN MD (SOLO)
(570) 488-9880
Entity
Organization
Contact information
Practice address
27A WOODLANDS DR, WAYMART, PA 18472-9366
(570) 488-9880
Mailing address
27A WOODLANDS DR, WAYMART, PA 18472-9366
(570) 488-9880
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001880725
—
PA
01
—
1343003
BS
—
Enumeration date
02/16/2006
Last updated
02/22/2013
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