Individual
JASON M KOMASZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
260 NEW YORK DR, FORT WASHINGTON, PA 19034-2504
(215) 643-7331
(215) 654-0741
Mailing address
595 W STATE ST, 505, DOYLESTOWN, PA 18901-2554
(215) 933-0259
(215) 933-3672
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD071900L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001849752
—
PA
Enumeration date
02/10/2006
Last updated
08/19/2016
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