Individual
DR. JASON PAUL DEN HAESE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MS
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 868-8217
Mailing address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 864-4031
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OT021965
PA
Other
Enumeration date
06/14/2022
Last updated
06/26/2022
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