Individual
JASON PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 LOMBARD ST, GROUND FL, PHILADELPHIA, PA 19146-1414
(215) 893-2676
(215) 893-2610
Mailing address
1800 LOMBARD ST, GROUND FL, PHILADELPHIA, PA 19146-1414
(215) 893-2676
(215) 893-2610
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
25MA10389800
NJ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD464410
PA
Other
Enumeration date
05/15/2013
Last updated
08/09/2018
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