Individual
JASON BADILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
15225 SHADY GROVE RD, SUITE 201, ROCKVILLE, MD 20850-3254
(301) 947-2415
(240) 632-0164
Mailing address
15225 SHADY GROVE RD, SUITE 201, ROCKVILLE, MD 20850-3254
(301) 947-2415
(240) 632-0164
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002834
MD
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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