Individual
DR. JASON STAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, MC 01-11, DANVILLE, PA 17822-9800
(570) 271-6655
(570) 214-3967
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD432753
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD432753
PA
Other
Enumeration date
07/05/2006
Last updated
08/10/2020
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