Individual
JASON J JANCOSKO
Active
Individual
JASON J JANCOSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
H75947
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4458265 00
—
MD
01
—
CF170008
CAREFIRST
MD
Enumeration date
05/04/2009
Last updated
07/01/2016
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