Provider Demographics
NPI:1437545225
Name:BREIG, JASON ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:ANTHONY
Last Name:BREIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 HEARTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2739
Mailing Address - Country:US
Mailing Address - Phone:856-397-8917
Mailing Address - Fax:
Practice Address - Street 1:1613 ROUTE 38 FL 1
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-2921
Practice Address - Country:US
Practice Address - Phone:609-444-5566
Practice Address - Fax:609-261-5507
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10368400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine