Individual
DR. JASON M WASYLOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
175 QUINN DR, PITTSBURGH, PA 15275-1013
(412) 788-1691
Mailing address
460 MARKMAN PARK RD, BADEN, PA 15005-2838
(347) 678-2877
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000079
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02524629
—
NY
Enumeration date
07/21/2006
Last updated
10/18/2016
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