Individual
ERIC M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16-18 RIDGE ROAD, NORTH RLINGTON, NJ 07031-6314
(201) 997-1010
(201) 997-7436
Mailing address
16-18 RIDGE ROAD, NORTH ARLINGTON, NJ 07031-6314
(201) 997-1010
(201) 997-7436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA03676900
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA03676900
NJ
Other
Enumeration date
08/10/2005
Last updated
06/09/2014
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