Individual
DR. JASON WAYNE CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 S GREENE ST, DEPT OF PEDIATRIC CRITICAL CARE MEDICINE, BALTIMORE, MD 21201-1544
(410) 328-6957
(410) 328-0680
Mailing address
3502 ELLIOTT ST, BALTIMORE, MD 21224-5210
(410) 563-7383
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
D66071
MD
Other
Enumeration date
01/30/2007
Last updated
04/22/2014
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