Individual
JASON F. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
53-59 PUBLIC SQUARE SUITE 301, WATERTOWN INTERNISTS, PC, WATERTOWN, NY 13601
(315) 782-2141
(315) 782-5123
Mailing address
53-59 PUBLIC SQUARE, SUITE 301 - WATERTOWN INTERNISTS, PC, WATERTOWN, NY 13601-2674
(315) 782-2141
(315) 782-5123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
231919
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02571942
—
NY
Enumeration date
05/18/2006
Last updated
03/30/2016
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