Jason Gannon D.P.M.

  • NPI 1619992690
According to our database, the NPI number for Jason Gannon D.P.M. is 1619992690 and activated since 17 years ago. Jason Gannon D.P.M. is an individual provider who specializes in Foot Surgery, and the primary practice location is 111 Mulberry St, Newark, NJ 07102. You can also contact Jason Gannon D.P.M. via telephone number is (973) 818-9104. Provider NPI information was last updated on 12/22/2010.

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Overview of Jason Gannon D.P.M.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 07/12/2006
  • Last updated: 12/22/2010

Primary Scrop of Practice

  • Taxonomy Code: 213ES0131X
  • Specialty: Foot Surgery
  • License Number: 25MD00257500
  • License State: NJ

Provider Mailing Address

  • Address: 131 Safran Ave
    Edison, NJ 08837
  • Phone: 973-818-9104
  • Fax:

Provider Practice Location

  • Address: 111 Mulberry St
    Suite 1r
    Newark, NJ 07102
  • Phone: 973-818-9104
  • Fax:

Scope of Practice

  • Taxonomy Code: 213ES0131X
  • Specialty: Foot Surgery
  • License Number: 25MD002575
  • License State: NJ
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 8238502
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: NJ
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jason Gannon D.P.M.?
  • A: The npi number for Jason Gannon D.P.M. is 1619992690.
  • Q: What are Jason Gannon D.P.M.'s specialties?
  • A: Jason Gannon D.P.M.'s specialties are Foot Surgery and different specialities.
  • Q: What is the medical license for Jason Gannon D.P.M.?
  • A: The medical license number for Jason Gannon D.P.M. is 25MD00257500 and issued in NJ in USA.
  • Q: Where is Jason Gannon D.P.M. practice location?
  • A: Jason Gannon D.P.M. is practicing at 111 Mulberry St, Newark, NJ 07102.
  • Q: How to contact Jason Gannon D.P.M.?
  • A: You can contact Jason Gannon D.P.M. via 973-818-9104.