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JASON ALEXANDER SOTOMAYOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(732) 343-1696
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(732) 343-1696

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064420
PA

Other

Enumeration date
12/12/2020
Last updated
10/07/2024
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