Provider Demographics
NPI:1780950949
Name:TE PASKE, JONAS R (MD)
Entity type:Individual
Prefix:DR
First Name:JONAS
Middle Name:R
Last Name:TE PASKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1215 LEE ST
Mailing Address - Street 2:BOX 800712
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-0816
Mailing Address - Country:US
Mailing Address - Phone:434-924-2221
Mailing Address - Fax:434-982-1840
Practice Address - Street 1:920 E HIGH ST STE 201
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-4850
Practice Address - Country:US
Practice Address - Phone:434-654-2870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-31
Last Update Date:2023-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101259840207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology