Provider Demographics
NPI:1417275702
Name:SACHMAN, JASON LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:LAWRENCE
Last Name:SACHMAN
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:5595 WINFIELD BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-1220
Mailing Address - Country:US
Mailing Address - Phone:844-868-2562
Mailing Address - Fax:408-226-2123
Practice Address - Street 1:5595 WINFIELD BLVD
Practice Address - Street 2:SUITE 110
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-1220
Practice Address - Country:US
Practice Address - Phone:844-868-2562
Practice Address - Fax:408-226-2123
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-11
Last Update Date:2014-01-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA119972208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice