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Individual

JASON K ESTRADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5980
(814) 452-5039
Mailing address
1910 SASSAFRAS ST, STE 100, ERIE, PA 16502-2716
(412) 937-8887
(412) 937-9221

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD418258
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001339337
HIGHMARK BCBS
PA
Enumeration date
06/09/2006
Last updated
01/29/2016
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