IndividualActive
Jamie Stasko, PAC
NPI 1316909641 · Surgical Physician Assistant · Concord, NH
Provider details
- NPI number
- 1316909641
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- 0575 (NH)
Practice location
264 Pleasant St
Concord, NH 03301-2551
Phone: (603) 224-3368
Fax: (603) 224-7815
Mailing address
264 Pleasant St
Concord, NH 03301-2551
Registry dates
- Enumerated
- 2006-04-03
- Last updated
- 2019-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.