Individual
JASON B AMATO
Active
Individual
JASON B AMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
112774
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070015818
RAIL ROAD MEDICARE
MO
01
—
143496
BLUE CROSS BLUE SHIELD
MO
01
—
457893
HEALTHLINK
MO
01
—
7111216
AETNA
MO
Enumeration date
04/21/2006
Last updated
07/30/2019
Update your record
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