Komasz, Jason M
Komasz, Jason M is an sole proprietor health care provider with primary practice located at 260 New York Dr , Fort Washington PA 19034-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Komasz, Jason M can be contacted via phone (215) 643-7331.Contact Information
Primary practice address
260 New York Dr
Fort Washington PA 19034-2504
Phone: (215) 643-7331
Fax: (215) 654-0741
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD071900L | Pennsylvania |
Profile Details
NPI number | 1952374746 |
---|---|
LBN Legal business name | Komasz, Jason M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 10th, 2006 |
Last updated | Aug 19th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952374746 | NPPES |
Pennsylvania | MEDICAID | 001849752 |
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