DOUGLAS T JACKSON

NEWARK, NJ
NPI1962472407
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207LC0200X Anesthesiology, Critical Care Medicine
(Licence: NJ  25MA06601400)
Enumeration Date2006-01-26
Last Update Date2007-07-08
Business Address
-- DOUGLAS T JACKSON MD
150 BARGEN ST F 102
NEWARK, NJ 07103
Phone number: 973-972-3555
Mailing Address
-- DOUGLAS T JACKSON MD
PO BOX 18925
NEWARK, NJ 07191
Phone number: 973-972-3555
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