Provider Demographics
NPI:1578564829
Name:STEIN, JASON PAUL (MD)
Entity Type:Individual
Prefix:MR
First Name:JASON
Middle Name:PAUL
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5063 10TH AVE N
Mailing Address - Street 2:PALM BEACH PEDIATRICS
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-2048
Mailing Address - Country:US
Mailing Address - Phone:561-683-7093
Mailing Address - Fax:561-471-0887
Practice Address - Street 1:6169 JOG RD
Practice Address - Street 2:STE 82
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-6579
Practice Address - Country:US
Practice Address - Phone:561-434-9433
Practice Address - Fax:561-434-2646
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 86973208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics