Individual
JOSHUA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3131
Mailing address
1108 YVERDON DR, A2, CAMP HILL, PA 17011-1251
(818) 590-5307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD465943
PA
Other
Enumeration date
10/19/2015
Last updated
01/16/2021
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