# JASON DEAN, MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659045243
- **Authorized official:** JASON DEAN MD (OWNER)
- **Authorized official phone:** (201) 304-7552

## Contact information

- **Practice address:** 400 FRANK W BURR BLVD \# 6, TEANECK, NJ 07666-6839
- **Practice address phone:** (201) 304-7552
- **Mailing address:** 400 FRANK W BURR BLVD \# 6, TEANECK, NJ 07666-6839
- **Mailing address phone:** (201) 304-7552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/06/2021
- **Last updated:** 08/06/2021