Individual
DR. WILLIAM GEORGE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0103633
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0103633
MD
Other
Enumeration date
03/19/2019
Last updated
06/23/2025
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