Jesse Fask

NPI 1033362926 · on the registry since 2008 · sole proprietor

Practice

Address: 2600 Pot Spring Rd
Vila Maria School At St. Vincents
Timonium, MD 21093
Phone: (410) 252-3725
Organisation at this address: Johns Hopkins University
Associated Catholic Charities, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-10-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland