Individual
DR. JASON ALEXANDER BRUSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
105 REGENCY PARK DR, MCDONOUGH, GA 30253-6649
(770) 506-4119
(770) 506-4145
Mailing address
105 REGENCY PARK DR, MCDONOUGH, GA 30253-6649
(770) 506-4119
(770) 506-4145
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
85137
GA
207X00000X
Orthopaedic Surgery Physician
OT015677
PA
Other
Enumeration date
07/02/2014
Last updated
08/03/2020
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