Search › Delaware › 207N00000X
Jason Staback, PA-C
NPI 1750331948 · on the registry since 2006
Practice
- Address
- 17644 Coastal Hwy #6
Lewes, DE 19958 - Phone
- (877) 425-7756
Additional practice sites
- 214 Commons Way Bldg B, Toms River, NJ
- 1616 Route 72 W Ste 2, Manahawkin, NJ
- 655 Kearny Ave Ste 109, Kearny, NJ
- 925 Clifton Ave Fl 2, Clifton, NJ
- 35 Green Pond Rd, Rockaway, NJ
- 1 Centurian Dr, Newark, DE
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Delaware