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Individual
JASON SELIM
Active
Individual
JASON SELIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OS021163
PA
208M00000X
Hospitalist Physician
Primary
OS021163
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT017072
PA
Other
Enumeration date
05/31/2016
Last updated
05/24/2021
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