Individual provider · Type 1 NPI

Jason Christian Difusco, MD

Student in an Organized Health Care Education/Training Program · Mobile, AL

NPI number 1902957665 Active

Practice location

2451 Fillingim Street, Mstn 611, Housestaff Office
Mobile, AL 36617

Call (251) 471-7000 Map

Mailing address

2580 Pathway Pl, Apt. B
Mobile, AL 36606-2324

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902957665

Jason Christian Difusco, MD's National Provider Identifier is 1902957665, issued on Jan 16, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mobile, AL. The record was last updated on Jul 8, 2007.