Provider Demographics
NPI:1356315360
Name:MAGUIRE, JASON DOUGLAS (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:DOUGLAS
Last Name:MAGUIRE
Suffix:
Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:1820 SHILLELAGH RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-6527
Mailing Address - Country:US
Mailing Address - Phone:757-953-5179
Mailing Address - Fax:757-953-7674
Practice Address - Street 1:620 JOHN PAUL JONES CIR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708-2111
Practice Address - Country:US
Practice Address - Phone:757-953-5179
Practice Address - Fax:757-953-7674
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0045722207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease