| NPI | 1003126483 |
|---|---|
| Other Name | JAY PANDISCIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50005815RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110006730) |
| 363A00000X Physician Assistant | |
| 363A00000X Physician Assistant (Licence: CA PA54482) | |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2020-03-02 |