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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BENJAMIN MATERI JACKSON, MD

Active

BENJAMIN MATERI JACKSON, MD is a Vascular Surgery healthcare provider located in ALLENTOWN, Pennsylvania. NPI 1164588448 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · ALLENTOWN, PA

Registration Details

NPI Number
1164588448
Provider Type
Individual
Gender
Male
NPI Issued
Dec 29, 2006 (19.64823887118 yrs)
Last Updated
Jul 18, 2022
Licenses
MD420325 (PA)
MT047810T (PA)
MD420325 (PA)

Practice Information

Address
1259 S CEDAR CREST BLVD STE 301
ALLENTOWN, PA, 181036206
Browse PA providers · Browse ZIP 18103
Phone
6104029400
Fax
6104378807
Primary Specialty
Vascular Surgery
2086S0129X
Additional Specialty
Vascular Surgery
Additional Specialty
Vascular Surgery

Other Vascular Surgery Providers in ALLENTOWN, PA

Name Credential NPI
DR. JOHN F WELKIE M.D. 1588664221
DR. JAMES J GOODREAU M.D. 1811997547
DR. JAMES L MCCULLOUGH M.D. 1881694511
DR. ALAN BERGER M.D. 1336149624
DR. PETER J ISAAC DO 1568443869
DR. MAHMOOD TAHIR MD 1730160029
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.