Individual
JAY P NASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 RUTHERFORD RD STE 101, HARRISBURG, PA 17109-4540
(717) 545-5256
(717) 545-5259
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD049745L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014103260005
—
PA
Enumeration date
10/26/2005
Last updated
07/03/2017
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