Individual
JASON D FRAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
303 BENNER PIKE, STATE COLLEGE, PA 16801-7304
(814) 272-5660
(814) 272-5675
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OSO10881L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013448870001
—
PA
Enumeration date
08/20/2006
Last updated
01/24/2020
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