Doctor Name: | MR. JASON ROBERT BARFUSS |
NPI Number: | 1003962911 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | C03224 |
Business Practice Address: | 7600 Carroll Ave Takoma Park, MD - 209126367 |
Business Phone Number: | 3018917600 |
Business Fax Number: | |
Mailing Address: | 7818 Edmunds Way, ELKRIDGE |
State: | MD |
Postal Code: | 210755904 |
Phone Number: | 3012634554 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | C03224 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |