DR. Jason Michael Shackelford, M.D.

NPI #1023204534 in Jenkintown, Pennsylvania

Provider Information

NPI Number: 1023204534
Entity Type: Individual
Name: DR. Jason Michael Shackelford, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Sep 18, 2007
Last Updated: Jul 14, 2014

Practice Location

Address: 500 OLD YORK RD
Address 2: SUITE 203
City: Jenkintown
State: Pennsylvania
ZIP Code: 19046-2852
Phone: (215) 886-0174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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