Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON FERDERBER
ActiveJASON FERDERBER is a Sports Medicine (EM) healthcare provider located in STATE COLLEGE, Pennsylvania. NPI 1023544053 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · STATE COLLEGE, PA
Registration Details
- NPI Number
- 1023544053
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2017 (9.2951103217215 yrs)
- Last Updated
- Jul 2, 2021
- License
-
MD467872 (PA)
Practice Information
- Address
-
1700 OLD GATESBURG RD STE 200STATE COLLEGE, PA, 168032276Browse PA providers · Browse ZIP 16803
- Phone
- 8142374321
- Fax
- 8142350484
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.