Individual
DR. JASON A YAHWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 FODEN ROAD, WEST BUILDING SUITE 103, SOUTH PORTLAND, ME 04106
(207) 828-1122
(207) 828-0188
Mailing address
100 FODEN ROAD, WEST BUILDING SUITE 103, SOUTH PORTLAND, ME 04106
(207) 828-1122
(207) 828-0188
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
15752
ME
207RP1001X
Pulmonary Disease Physician
22296
NH
Other
Enumeration date
09/06/2006
Last updated
06/15/2022
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