Individual
DR. KATHERINE MARY JASNOSZ-DECARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD026864
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012613060001
—
PA
05
—
0012613060005
—
PA
05
—
0012613060007
—
PA
05
—
0196599000
—
WV
05
—
2227638
—
OH
Enumeration date
08/02/2005
Last updated
10/02/2020
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