Individual
DR. JASON VAN ANTWERP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 N 4TH ST STE 1, OAKLAND, MD 21550-1371
(301) 334-7855
Mailing address
311 N 4TH ST STE 1, OAKLAND, MD 21550-1371
(301) 334-7855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0085993
MD
Other
Enumeration date
06/18/2015
Last updated
11/26/2018
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