Individual
RICHARD M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970
(978) 741-1200
(978) 740-4731
Mailing address
81 HIGHLAND AVE, NORTH SHORE HEALTH SYSTEMS, SALEM, MA 01970
(978) 354-4173
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
75533
MA
Other
Enumeration date
08/23/2006
Last updated
07/17/2007
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