Individual
JASON SEAN FAHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QAOO8393
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2277478
UNITED HEALTHCARE
NJ
01
—
7373094
AETNA
NJ
01
—
835723
ACN GROUP
NJ
Enumeration date
01/31/2007
Last updated
02/17/2014
Update your record
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