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Mr. Jason Robert Smith, PA-C
Surgical Physician Assistant in Philadelphia, Pennsylvania
NPI 1689759862

Jason Robert Smith is a Surgical Physician Assistant based in Philadelphia, PA and is specialized in Surgical. Jason Robert Smith practices in Philadelphia, PA and has the professional credentials of PA-C. The NPI Number for Jason Robert Smith is 1689759862 and holds a License No. C5-0000717 (Pennsylvania).

The current practice location address for Jason Robert Smith is 3401 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 267-426-5546 and via fax at 215-386-4036. You can also correspond with Jason Robert Smith through the mailing address at 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA - 19104-4319 (mailing address contact number: 267-426-5546).

Location: 3401 Civic Center Blvd, Philadelphia, PA, 19104-4319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689759862
Provider Name
Jason Robert Smith
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3401 Civic Center Blvd, Philadelphia, PA, 19104-4319
Phone Number
267-426-5546
Fax Number
215-386-4036
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25MP00161900 01 NJ NJ LICENSE
C5-0000717 01 DE DELAWARE DIVISION OF PROFESSIONAL REGULATION
MA052891 01 PA PENNSYLANIA DEPARTMENT OF STATE BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
institution
Provider Business Practice Location Address Details
Address
3401 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-4319
Phone Number
267-426-5546
Fax Number
215-386-4036
person
Provider Business Mailing Address Details
Address
3401 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-4319
Phone Number
267-426-5546
Fax Number
215-386-4036
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
C50000717 (Delaware)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
C5-0000717 (Delaware)
Definition
Definition to come...
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