Provider Demographics
NPI:1376502179
Name:WEXLER, JASON A (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:A
Last Name:WEXLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:110 IRVING STREET, NW
Mailing Address - Street 2:ROOM 2A72
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010
Mailing Address - Country:US
Mailing Address - Phone:202-877-9137
Mailing Address - Fax:202-877-6588
Practice Address - Street 1:110 IRVING STREET, NW
Practice Address - Street 2:ROOM 2A72
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:202-877-9137
Practice Address - Fax:202-877-6588
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0062361207RE0101X
DC036170207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
H16858Medicare UPIN