Individual
JASON MARK BECKTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 747-1831
Mailing address
3035 ROUTE 50 # 1042, SARATOGA SPRINGS, NY 12866-2900
(518) 650-1851
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
042-0016454
VT
2085R0001X
Radiation Oncology Physician
308237-01
NY
Other
Enumeration date
05/18/2016
Last updated
12/23/2023
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