Individual
JASON MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 VALLEY ROAD, MIDDLETOWN, RI 02842-5237
(401) 239-1800
(401) 239-1801
Mailing address
102 VALLEY RD, MIDDLETOWN, RI 02842-5237
(401) 239-1800
(401) 239-1801
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25087
WV
207N00000X
Dermatology Physician
MD13562
RI
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD13562
RI
Other
Enumeration date
07/24/2006
Last updated
11/04/2021
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