Individual provider · Type 1 NPI

Jason Charles Stanford, P.A.-C

Surgical Physician Assistant · Germantown, MD

NPI number 1003093667 Active

Practice location

19466 Caravan Dr
Germantown, MD 20874-6220

Fax (214) 764-0880

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694

Other practice locations

  • 61 Thomas Johnson Dr, Frederick, MD 21702-4301 · (301) 663-6171

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC0002208 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1003093667

Jason Charles Stanford, P.A.-C's National Provider Identifier is 1003093667, issued on Jan 25, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Germantown, MD. The record was last updated on Dec 1, 2023.