Individual
MR. JASON LEE AUSMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1020 SANSOM ST, THOMPSON BUILDING, SUITE 239, PHILADELPHIA, PA 19107-5002
(215) 955-6844
Mailing address
1700 WALNUT ST, APT 6F, PHILADELPHIA, PA 19103-6000
(917) 971-1017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
011483
NY
363A00000X
Physician Assistant
Primary
MA053388
PA
Other
Enumeration date
02/25/2008
Last updated
10/15/2015
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