Individual
DR. JASON VACHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 FRIENDSHIP ST, DEPARTMENT OF RADIOLOGY, NEWPORT, RI 02840-2209
(401) 845-1338
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2500
(401) 889-3619
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
246119
NY
2085R0202X
Diagnostic Radiology Physician
MD13941
RI
2085R0204X
Vascular & Interventional Radiology Physician
1015841
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD13941
RI
Other
Enumeration date
09/23/2008
Last updated
10/23/2024
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