NPI 1750331948

Jason Staback, PAC

Practitioner Dermatology Physician Lewes, DE

Practice location

Address: 17644 Coastal Hwy #6, Lewes, DE 19958
Phone: (877) 425-7756

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 25MP00051300 (NJ)

Other Dermatology providers in Delaware →

Registry record

NPI: 1750331948
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2006
Record last updated: 10 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.