Dr. Jason Van Antwerp MD - Family Medicine Physician in Oakland, Maryland | ProviderWire

Full Name

Dr. Jason Van Antwerp MD

NPI Number

1811379563

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/18/2015

Specialties

(Taxonomies)

Name

Family Medicine Physician

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

D0085993

Contact
Information

Purpose

Mailing

Location

Address

311 N 4TH ST STE 1

311 N 4TH ST STE 1

City

Oakland

Oakland

State

MD

MD

Postal Code

21550-1371

21550-1371

Country

US

US

Telephone Number

(301) 334-7855

(301) 334-7855

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/26/2018

Provider Address

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