Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON STABACK, PA-C
ActiveMR. JASON STABACK, PA-C is a Dermatology healthcare provider located in LEWES, Delaware. NPI 1750331948 is currently active in the NPPES registry. Verify at CMS.
Dermatology · LEWES, DE
Registration Details
- NPI Number
- 1750331948
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2006 (20.269225677684 yrs)
- Last Updated
- Apr 10, 2023
- License
-
25MP00051300 (NJ)
Practice Information
- Address
-
17644 COASTAL HWY #6LEWES, DE, 19958Browse DE providers · Browse ZIP 19958
- Phone
- 8774257756
- Primary Specialty
-
Dermatology
207N00000X
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.