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Individual

JASON A CLEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1001 PHILADELPHIA AVENUE, OCEAN CITY, MD 21842
(410) 289-6241
(410) 289-5533
Mailing address
10026 OLD OCEAN CITY BLVD, BUILDING ONE, BERLIN, MD 21811
(410) 289-6241
(410) 289-5533

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0058701
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432132400
MD
Enumeration date
10/18/2005
Last updated
06/11/2010
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