Provider Demographics
NPI:1386084069
Name:NOTHSTEIN, JARED M (DO)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:M
Last Name:NOTHSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 SMITHFIELD LN FL 2
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301-8715
Mailing Address - Country:US
Mailing Address - Phone:272-212-3872
Mailing Address - Fax:866-230-5974
Practice Address - Street 1:125 SMITHFIELD LN FL 2
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-8715
Practice Address - Country:US
Practice Address - Phone:272-212-3872
Practice Address - Fax:866-230-5974
Is Sole Proprietor?:No
Enumeration Date:2013-06-26
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-018226207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine