Individual
JASON J JANCOSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.P.T.
Contact information
Practice address
510 IDLEWILD AVE, EASTON, MD 21601-3881
(410) 820-8226
(410) 820-8405
Mailing address
510 IDLEWILD AVE, EASTON, MD 21601-3881
(410) 820-8226
(410) 820-8405
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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