Individual
DR. JASON DAVID PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
186 JORALEMON ST, BROOKLYN, NY 11201-4356
(929) 455-2399
Mailing address
PO BOX 64563, BALTIMORE, MD 21264-4563
(443) 287-8284
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
247053
MA
208600000X
Surgery Physician
Primary
D0074415
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055259300
—
MD
Enumeration date
12/24/2007
Last updated
09/08/2022
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