Basic Information
Provider Information
NPI: 1639480122
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: UNGER
FirstName: JASON
MiddleName: AARON
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 E CARROLL ST
Address2:  
City: SALISBURY
State: MD
PostalCode: 218015422
CountryCode: US
TelephoneNumber: 4105466400
FaxNumber:  
Practice Location
Address1: 100 E CARROLL ST
Address2:  
City: SALISBURY
State: MD
PostalCode: 218015422
CountryCode: US
TelephoneNumber: 4105466400
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/29/2010
LastUpdateDate: 07/26/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/26/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208D00000X0101250229VAN Allopathic & Osteopathic PhysiciansGeneral Practice 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RP1001XD92080MDY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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