Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS T JACKSON, MD
ActiveDOUGLAS T JACKSON, MD is a Critical Care Medicine (Anesthesiology) healthcare provider located in NEWARK, New Jersey. NPI 1962472407 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine (Anesthesiology) · NEWARK, NJ
Registration Details
- NPI Number
- 1962472407
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2006 (20.585227995593 yrs)
- Last Updated
- Jul 8, 2007
- License
-
25MA06601400 (NJ)
Practice Information
- Address
-
150 BARGEN STF 102NEWARK, NJ, 07103Browse NJ providers · Browse ZIP 07103
- Phone
- 9739723555
- Fax
- 9739723510
- Primary Specialty
-
Critical Care Medicine (Anesthesiology)
207LC0200X
Other Critical Care Medicine (Anesthesiology) Providers in NEWARK, NJ
| Name | Credential | NPI |
|---|---|---|
| ANDREI BOTEA | M.D. | 1609920842 |
| EDLIRA BREGU | — | 1518832773 |
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.