Individual
JASON EDWARD WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 ELMGROVE ROAD, ROCHESTER, NY 14624-6236
(585) 426-4100
(585) 453-1462
Mailing address
900 ELMGROVE ROAD, ROCHESTER, NY 14624-6236
(585) 426-4100
(585) 453-1462
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
236925
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02671121
—
NY
01
—
7783666
AETNA US HEALTHCARE
—
01
—
MDJ047
PREFERRED CARE
NY
01
—
P010236925
EXCELLUS BLUE CHOICEE
—
01
—
P020236925
BLUE SHIELD OF ROCHESTER
NY
Enumeration date
09/14/2006
Last updated
08/03/2012
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