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Individual

DR. JASON PAUL SHAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 WALNUT ST FL 4, PHILADELPHIA, PA 19107
(215) 955-5411
Mailing address
1100 WALNUT ST FL 4, PHILADELPHIA, PA 19107-4944
(215) 955-5411

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA10290800
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MD457251
PA

Other

Enumeration date
05/21/2008
Last updated
12/23/2025
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