| Doctor Name: | JASON M LUSZCZ |
| NPI Number: | 1609154111 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA4348 |
| Business Practice Address: | 70 Post Office Park Wilbraham, MA - 010951290 |
| Business Phone Number: | 4135987770 |
| Business Fax Number: | 4135991399 |
| Mailing Address: | 70 Post Office Park, 2nd Floor WILBRAHAM |
| State: | MA |
| Postal Code: | 010951290 |
| Phone Number: | 4135987770 |
| Fax Number: | 4135991399 |
| NPI Enumeration Date: | 08/01/2011 |
| NPI Last Update Date: | 04/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA4348 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |