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Individual

JASON H BRAJER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 CORNERSTONE LN, BRYN MAWR, PA 19010-2073
(610) 527-8820
(610) 672-9722
Mailing address
601 CORNERSTONE LANE, BRYN MAWR, PA 19010-2073
(610) 527-8820
(610) 672-9722

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD025443E
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD025443E
PA
208VP0000X
Pain Medicine Physician
C10008831
DE
208VP0000X
Pain Medicine Physician
MD025443E
PA
208VP0014X
Interventional Pain Medicine Physician
C10008831
DE
208VP0014X
Interventional Pain Medicine Physician
MD025443E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00104922-0015
PA
01
0056892000
IBC - PC, KHPE
PA
01
050034053
RR MEDICARE
PA
01
1009178
KEYSTONE MERCY
PA
01
112418
PHCS
PA
01
143062
HIGHMARK BLUE SHIELD
PA
05
1609856723
DE
01
2559705
AETNA HMO
PA
01
4516241
AETNA PPO
PA
01
8068421
CIGNA HMO/PPO
PA
01
MD025443E
HEALTH PARTNERS
PA
Enumeration date
01/17/2006
Last updated
01/12/2021
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