Douglas T Jackson in Newark - Critical Care Medicine
Douglas T Jackson - NPI 1962472407
Douglas T Jackson is a Critical Care Medicine in Newark, New Jersey. Douglas T Jackson practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Douglas T Jackson is 1962472407. The last update date is 2007-07-08.
Douglas T Jackson's current location address is Po Box 18925, Newark, New Jersey. You can contact this provider via phone number 9739723555 and fax number 9739723510. The mailing address for Douglas T Jackson is Po Box 18925, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas T Jackson |
|---|---|
| Address | Po Box 18925, Newark, New Jersey |
| Phone Number | 9739723555 |
| Fax Number | 9739723510 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962472407 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 18925 |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 7191 |
| Phone Number | 9739723555 |
| Fax Number | 9739723510 |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Lc0200X |
| Licence No | 25MA06601400 |
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Definition: An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6716407 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas T Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Douglas T Jackson has been assigned the NPI (National Provider Identifier) 1962472407. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Douglas T Jackson's facilities are situated?
The facilities of Douglas T Jackson are physically located at the following address: Po Box 18925, Newark, NJ, 7191.
What is Douglas T Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Douglas T Jackson is Critical Care Medicine, and the taxonomy code that categorizes this field of expertise is 207Lc0200X.
When did the Douglas T Jackson receive its 1962472407?
The Douglas T Jackson was issued its 1962472407 on 2006-01-26, which is the date when the organization was assigned this unique identifier.
When was the information regarding Douglas T Jackson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Douglas T Jackson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.