Individual
JASON ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHS, PA-C
Contact information
Practice address
100 E LANCASTER AVE, SUITE 233, WYNNEWOOD, PA 19096-3450
(484) 458-1000
(610) 642-2036
Mailing address
100 E LANCASTER AVE, SUITE 233, WYNNEWOOD, PA 19096-3450
(484) 458-1000
(610) 642-2036
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054838
PA
Other
Enumeration date
04/01/2011
Last updated
05/19/2011
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