Dr. Jason Lee Fidel, DO
Emergency Medicine in Hackensack, NJ. Individual provider (NPI-1).
NPI number1356870331
StatusActive
Last updated in NPPESMay 26, 2023
Details
- NPI
- 1356870331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Lee Fidel
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2017
- Certification date
- May 26, 2023
- Last updated
- May 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MB10659000 | NJ | Yes |
| 207P00000X | Emergency Medicine | 303940 | NY |
Practice location
30 Prospect AveHackensack, NJ 07601-1915
Phone 551-996-2000
Mailing address
205 W 15th St Apt 5uNew York, NY 10011-6422
Phone 401-491-7289
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All 100 Emergency Medicine Physician providers in Hackensack · All 3,808 providers in Hackensack
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