Individual
EVAN RAHMAN JASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 972-8428
Mailing address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO4768
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2026
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