Dr. Jason Peter Kahn, DO
Family Medicine in Montclair, NJ. Individual provider (NPI-1).
NPI number1538572425
StatusActive
Last updated in NPPESApr 24, 2020
Details
- NPI
- 1538572425
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Peter Kahn
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2014
- Certification date
- Apr 24, 2020
- Last updated
- Apr 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB10203900 | NJ | Yes |
Practice location
100 Valley Rd Ste 102Montclair, NJ 07042-2200
Phone 973-965-8409 · Fax 973-425-5673
Mailing address
100 Valley Rd Ste 102Montclair, NJ 07042-2200
Phone 973-965-8409 · Fax 973-425-5673
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