Individual
MR. JASON CHRISTOPHER TAKACS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7500 BROOKTREE RD STE 302, WEXFORD, PA 15090-9285
(866) 874-7483
Mailing address
7500 BROOKTREE RD STE 302, WEXFORD, PA 15090-9285
(866) 874-7483
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061959
PA
363AM0700X
Medical Physician Assistant
OA005536
PA
Other
Enumeration date
10/23/2020
Last updated
04/04/2023
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