| Doctor Name: | DR. JASON MAYO |
| NPI Number: | 1073711776 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 49644 |
| Business Practice Address: | 1 Liberty Sq New Britain, CT - 060512637 |
| Business Phone Number: | 8608270071 |
| Business Fax Number: | 8602295642 |
| Mailing Address: | 1 Liberty Sq, P.o. Box 217 NEW BRITAIN |
| State: | CT |
| Postal Code: | 060512637 |
| Phone Number: | 8608270071 |
| Fax Number: | 8602295642 |
| NPI Enumeration Date: | 07/05/2007 |
| NPI Last Update Date: | 12/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 49644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |