Provider Demographics
NPI:1851500185
Name:DUPRE, JAYSON M (DO)
Entity Type:Individual
Prefix:DR
First Name:JAYSON
Middle Name:M
Last Name:DUPRE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2118 ARBOURDALE CIR
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-2407
Mailing Address - Country:US
Mailing Address - Phone:610-287-8760
Mailing Address - Fax:
Practice Address - Street 1:1108 NORTH BETHLEHEM PIKE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:SPRING HOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477
Practice Address - Country:US
Practice Address - Phone:215-793-9999
Practice Address - Fax:215-793-9972
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS010880L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine