| NPI | 1245694520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON J JANCOSKO President 410-820-8226 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 174400000X Specialist |
| 208100000X Physical Medicine & Rehabilitation | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2025-12-11 |