Provider Demographics
NPI:1326095795
Name:STRAUSS, JASON B (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:B
Last Name:STRAUSS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:103 GARLAND ST
Mailing Address - Street 2:GPSU, LEWIS 2
Mailing Address - City:EVERETT
Mailing Address - State:MA
Mailing Address - Zip Code:02149-5066
Mailing Address - Country:US
Mailing Address - Phone:617-394-7696
Mailing Address - Fax:617-493-7725
Practice Address - Street 1:103 GARLAND ST
Practice Address - Street 2:GPSU, LEWIS 2
Practice Address - City:EVERETT
Practice Address - State:MA
Practice Address - Zip Code:02149-5066
Practice Address - Country:US
Practice Address - Phone:617-394-7696
Practice Address - Fax:617-493-7725
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2012-02-06
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Provider Licenses
StateLicense IDTaxonomies
MA2242562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110041560/AMedicaid