Dr. Jason Daniel Reardon, MD
Pathology, Anatomic Pathology & Clinical Pathology in Richmond, VA. Individual provider (NPI-1).
NPI number1689239477
StatusActive
Last updated in NPPESJul 8, 2024
Details
- NPI
- 1689239477
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Daniel Reardon
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 7, 2019
- Certification date
- Jun 28, 2024
- Last updated
- Jul 8, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 0101277793 | VA | Yes |
Practice location
Vcuhs Dept Of Pathology, 9806621101 E. Marshall Street
Richmond, VA 23298
Phone 804-628-6793 · Fax 804-828-8733
Mailing address
Po Box 980662Richmond, VA 23298-0662
Phone 804-828-9783
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