Provider Demographics
NPI:1275573024
Name:JONATHAN E. PASKO,MD,PC
Entity Type:Organization
Organization Name:JONATHAN E. PASKO,MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PASKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-242-2440
Mailing Address - Street 1:730 N MACOMB ST
Mailing Address - Street 2:SUITE 324
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-2900
Mailing Address - Country:US
Mailing Address - Phone:734-242-2440
Mailing Address - Fax:734-457-3622
Practice Address - Street 1:730 N MACOMB ST
Practice Address - Street 2:SUITE 324
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-2900
Practice Address - Country:US
Practice Address - Phone:734-242-2440
Practice Address - Fax:734-457-3622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty