Individual
DR. MICHAEL KING JASON
Active
Individual
DR. MICHAEL KING JASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
136861
NY
207RC0000X
Cardiovascular Disease Physician
Primary
ME122604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01538265
—
NY
Enumeration date
10/27/2006
Last updated
11/10/2015
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