Individual
JASON NASCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 448-6332
(410) 448-6296
Mailing address
PO BOX 64881, BALTIMORE, MD 21264-4881
(410) 448-6332
(410) 448-6296
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D55465
MD
207XX0801X
Orthopaedic Trauma Physician
Primary
D0055465
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1689625683
NPI
MD
Enumeration date
05/14/2006
Last updated
03/19/2008
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