Individual
SCOTT J JANKOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5401 OLD COURT RD, RANDALLSTOWN, MD 21133-5103
(410) 521-2000
Mailing address
40 SLAVIN CT, NOTTINGHAM, MD 21236-3015
(443) 465-7106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0004102
MD
Other
Enumeration date
11/16/2009
Last updated
03/02/2010
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