Individual
MR. COLIN BENJAMIN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 E CONCORD ST, 6TH FLOOR, BOSTON, MA 02118-2335
(617) 414-5166
(617) 414-7300
Mailing address
85 E CONCORD ST, 6TH FLOOR, BOSTON, MA 02118-2335
(617) 414-5166
(617) 414-7300
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
274359
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2014
Last updated
12/09/2021
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