Individual
JASON SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
591 FRANKLIN AVE, NUTLEY, NJ 07110-1284
(973) 916-0002
Mailing address
591 FRANKLIN AVE, NUTLEY, NJ 07110-1284
(973) 916-0002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00866600
NJ
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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