Individual
MR. JASON ERIC CHACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
735 DAVISVILLE RD, SOUTHAMPTON, PA 18966-3282
(215) 396-4227
Mailing address
58 APPLETREE LN, SEWELL, NJ 08080-3022
(215) 396-4227
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
25MP00215900
NJ
363AM0700X
Medical Physician Assistant
Primary
MA053242
PA
Other
Enumeration date
11/28/2007
Last updated
12/09/2009
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