Individual
JASON CHRISTOPHER PRADARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MS
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
268000
MA
208600000X
Surgery Physician
275021
MA
208600000X
Surgery Physician
Primary
57.258999
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2016
Last updated
05/08/2025
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