Individual
DR. JASON A FEDORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2490 MOSSIDE BLVD, MONROEVILLE, PA 15146-4236
(412) 609-8130
Mailing address
PO BOX 791, CARNEGIE, PA 15106-0791
(412) 655-4362
(412) 504-7702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009385
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1736661
HIGHMARK
PA
Enumeration date
09/26/2006
Last updated
11/01/2018
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