Individual
JASON GREGORY BIRNBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 SWIFT LN, SHARON, MA 02067-1537
(617) 710-0514
Mailing address
11 SWIFT LN, SHARON, MA 02067-1537
(617) 710-0514
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
309959
NY
Other
Enumeration date
04/02/2016
Last updated
03/02/2022
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