DANIEL L JACKSON

BOSTON, MA
NPI1992874234
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: MA  37404)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
Dr. DANIEL L JACKSON M.D.
49 ROBINWOOD AVE
BOSTON, MA 02130-2156
Phone number: 617-390-1204
Mailing Address
Dr. DANIEL L JACKSON M.D.
115 LOWELL AVE
NEWTONVILLE, MA 02460-1521
Phone number: 617-390-1204
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