Individual
DR. JASON R STUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 TECHNOLOGY PKWY STE 201, MECHANICSBURG, PA 17050-9411
(717) 731-0101
Mailing address
2020 TECHNOLOGY PKWY STE 201, MECHANICSBURG, PA 17050-9411
(717) 731-0101
(717) 731-8359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD445715
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD445715
PA
207UN0901X
Nuclear Cardiology Physician
MD445715
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102784780
—
PA
01
—
322560
ABIM BOARD CERTIFICATION
PA
Enumeration date
06/23/2008
Last updated
11/20/2023
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