Individual
DR. JASON BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
834 CHESTNUT ST, SUITE 300, PHILADELPHIA, PA 19107-5127
(215) 955-5000
(215) 923-1089
Mailing address
834 CHESTNUT ST, SUITE 300, PHILADELPHIA, PA 19107-5127
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD074179L
PA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD074179L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072184
—
NJ
05
—
101346451
—
PA
Enumeration date
07/14/2006
Last updated
02/28/2014
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