Provider Demographics
NPI:1235154469
Name:ESTRIN, JASON TODD (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:TODD
Last Name:ESTRIN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WINDY KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:RICHBORO
Mailing Address - State:PA
Mailing Address - Zip Code:18954-1409
Mailing Address - Country:US
Mailing Address - Phone:215-378-1808
Mailing Address - Fax:
Practice Address - Street 1:3200 BENSALEM BOULEVARD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1956
Practice Address - Country:US
Practice Address - Phone:973-661-8300
Practice Address - Fax:973-661-8333
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0168218207R00000X
NJ25MA12088800207R00000X
PAMD428565207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine