Individual provider · Type 1 NPI

Jason Robert Smith, PA-C

Surgical Physician Assistant · Philadelphia, PA

NPI number 1689759862 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Call (267) 426-5546 Map

Fax (215) 386-4036

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC5-0000717 (DE)
Physician Assistant 363A00000XC50000717 (DE)
Surgical Physician Assistant 363AS0400X25MP00161900 (NJ)
Surgical Physician Assistant Primary 363AS0400XMA052891 (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1689759862

Jason Robert Smith, PA-C's National Provider Identifier is 1689759862, issued on Oct 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 28, 2016.