Rebecca Jackson in Orange - Family Medicine

Rebecca Jackson - NPI 1114999786

Rebecca Jackson is a Family Medicine in Orange, Massachusetts. Rebecca Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Rebecca Jackson is 1114999786. The last update date is 2022-07-21.

Rebecca Jackson's current location address is 119 New Athol Rd Ste 200, Orange, Massachusetts. You can contact this provider via phone number 9785447800 and fax number 9785440023. The mailing address for Rebecca Jackson is 119 New Athol Rd Ste 200, Orange, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Rebecca Jackson
Address 119 New Athol Rd Ste 200, Orange, Massachusetts
Phone Number 9785447800
Fax Number 9785440023
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1114999786
Provider Enumeration Date 2006-02-07
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 119 New Athol Rd Ste 200
City Orange
State Massachusetts (MA)
Post Code 13649603
Phone Number 9785447800
Fax Number 9785440023

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 208092
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110083655A MA --
J23829 MA BLUE CROSS BLUE SHIELD OF MA
47759 MA HEALTH NEW ENGLAND
AA159101 MA HARVARD PILGRIM HEALTHCARE
9611148 MA AETNA

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FAQs about Rebecca Jackson

What is the unique 10-digit identification code issued to Rebecca Jackson by the Centers for Medicare & Medicaid Services?

The Rebecca Jackson has been assigned the NPI (National Provider Identifier) 1114999786 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Rebecca Jackson?

The Rebecca Jackson is situated at 119 New Athol Rd Ste 200, in the city of Orange, state of MA, with the zip code 13649603.

What is Rebecca Jackson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Rebecca Jackson is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1114999786 to Rebecca Jackson?

The Centers for Medicare & Medicaid Services assigned the 1114999786 to Rebecca Jackson on 2006-02-07.

As of what date were the details pertaining to Rebecca Jackson last refreshed?

The information related to the Rebecca Jackson, including its address, specialty, and other relevant details, was last updated on 2022-07-21.

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