Individual
JASON S DEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2977 CROUSE LN, BURLINGTON, NC 27215-9480
(336) 584-4200
Mailing address
1238 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(336) 585-1869
(336) 586-0154
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2006-01019
NC
2086S0129X
Vascular Surgery Physician
2006-01019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905912
—
NC
Enumeration date
07/21/2006
Last updated
08/17/2021
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