Pamela Dawn Randolph Jackso in Washington - Radiation Oncology
Pamela Dawn Randolph Jackso - NPI 1801813407
Pamela Dawn Randolph Jackso is a Radiation Oncology in Washington, District Of Columbia. Pamela Dawn Randolph Jackso practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Pamela Dawn Randolph Jackso is 1801813407. The last update date is 2011-12-23.
Pamela Dawn Randolph Jackso's current location address is 110 Irving St Nw, Washington, District Of Columbia. You can contact this provider via phone number 8003530788 and fax number 8043556031. The mailing address for Pamela Dawn Randolph Jackso is 110 Irving St Nw, Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela Dawn Randolph Jackso |
|---|---|
| Address | 110 Irving St Nw, Washington, District Of Columbia |
| Phone Number | 8003530788 |
| Fax Number | 8043556031 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1801813407 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2011-12-23 |
Provider Mailing Address Detail
| Address | 110 Irving St Nw |
|---|---|
| City | Washington |
| State | District Of Columbia (DC) |
| Post Code | 20010 |
| Phone Number | 8003530788 |
| Fax Number | 8043556031 |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | DC 19357 |
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Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10150469 | VA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pamela Dawn Randolph Jackso?
The Pamela Dawn Randolph Jackso has been issued the NPI (National Provider Identifier) 1801813407 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Pamela Dawn Randolph Jackso is physically located?
The Pamela Dawn Randolph Jackso is physically situated at the following address: 110 Irving St Nw, Washington, DC, 20010.
What is the Pamela Dawn Randolph Jackso's specialty and taxonomy code?
The Pamela Dawn Randolph Jackso's specialty is Radiation Oncology, and the corresponding taxonomy code is 2085R0001X.
On what date was the 1801813407 assigned to Pamela Dawn Randolph Jackso?
The Pamela Dawn Randolph Jackso was issued its 1801813407 on 2006-07-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Pamela Dawn Randolph Jackso's information last updated?
The Pamela Dawn Randolph Jackso's information was last updated on 2011-12-23.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY