Individual
JASON M FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
995 HOSPITALITY WAY, ABERDEEN, MD 21001-1755
(410) 306-7880
Mailing address
171 DUCK FARM RD, OXFORD, PA 19363-4212
(610) 998-0234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002598
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00306421
RAILROAD MED
MD
Enumeration date
07/27/2006
Last updated
06/16/2021
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