Individual
DR. DOUGLAS S TASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 COOPER PLZ, SUITE 408, CAMDEN, NJ 08103-1438
(856) 968-3670
(856) 968-8588
Mailing address
3 COOPER PLZ, SUITE 408, CAMDEN, NJ 08103-1438
(856) 968-3670
(856) 968-8588
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD027972E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA09002900
STATE LIC
NJ
Enumeration date
07/08/2005
Last updated
01/05/2021
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