Individual
DR. JASON A DECESARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
200 TUCKERTON RD, SUITE 17, MEDFORD, NJ 08055-8806
(856) 396-2250
(856) 810-0373
Mailing address
200 TUCKERTON RD, SUITE 17, MEDFORD, NJ 08055-8806
(856) 396-2250
(856) 810-0373
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01471400
NJ
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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