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Individual

JASON SZELOG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
23619
NH
174400000X
Specialist
MD26571
ME
207R00000X
Internal Medicine Physician
275986
MA
207W00000X
Ophthalmology Physician
23619
NH
207W00000X
Ophthalmology Physician
275986
MA
207W00000X
Ophthalmology Physician
Primary
MD26571
ME
207WX0107X
Retina Specialist (Ophthalmology) Physician
23619
NH
207WX0107X
Retina Specialist (Ophthalmology) Physician
291178
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD26571
ME

Other

Enumeration date
06/18/2018
Last updated
10/17/2024
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