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Individual
JASON L WECHSLER
Active
Individual
JASON L WECHSLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
908
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000016864
UNISON
SC
05
—
009083
—
SC
01
—
20043297
FIRST CHOICE
SC
01
—
3728858
CIGNA
SC
01
—
7908678
AETNA
SC
01
—
E2752
MEDCOST
SC
Enumeration date
12/16/2005
Last updated
12/10/2018
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