Provider Demographics
NPI:1689331696
Name:BAILEY, JASON PD (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:PD
Last Name:BAILEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1263 FAWNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-1717
Mailing Address - Country:US
Mailing Address - Phone:484-763-0707
Mailing Address - Fax:
Practice Address - Street 1:930 RED ROSE CT STE 104
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-1981
Practice Address - Country:US
Practice Address - Phone:717-287-1983
Practice Address - Fax:717-614-1000
Is Sole Proprietor?:No
Enumeration Date:2021-11-24
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD469946207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine