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Individual

JASON DYLAN ROCHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1 BARTOL AVE, RIDLEY PARK, PA 19078-2214
(610) 521-8970
Mailing address
3857 PECHIN ST UNIT 210, PHILADELPHIA, PA 19128-3642
(631) 560-6045

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
08/09/2023
Last updated
08/09/2023
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