| Jason A Tate | |
|
76 Frederick St Taneytown MD 21787-2135 | |
| (410) 756-9110 | |
| Not Available |
| Full Name | Jason A Tate |
|---|---|
| Speciality | Family Medicine |
| Location | 76 Frederick St, Taneytown, Maryland |
| Authorized Official Name and Position | Dianne Tate (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4107569110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason A Tate Po Box 973 Westminster MD 21158-0973 Ph: (410) 848-5785 | Jason A Tate 76 Frederick St Taneytown MD 21787-2135 Ph: (410) 756-9110 |
| NPI Number | 1336647577 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 01/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336647577 | NPI | - | NPPES |
| 1906011 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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