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JASON PETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1240 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6369
(610) 402-1350
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA051166
PA

Other

Enumeration date
08/10/2006
Last updated
12/18/2015
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