Healthcare Provider Details

I. General information

NPI: 1568756542
Provider Name (Legal Business Name): JASON F SOLUS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2011
Last Update Date: 02/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1730 ELTON RD STE 11
SILVER SPRING MD
20903
US

IV. Provider business mailing address

1730 ELTON RD STE 11
SILVER SPRING MD
20903-5724
US

V. Phone/Fax

Practice location:
  • Phone: 301-439-4301
  • Fax:
Mailing address:
  • Phone: 301-439-4301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberD86633
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberD86633
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: