Individual
JACKSON RHINEHARDT CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1240 S CEDAR CREST BLVD STE 401, ALLENTOWN, PA 18103-6218
(610) 402-7880
Mailing address
265 WESTERN AVE STE 2, SOUTH PORTLAND, ME 04106-2458
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
32003
NH
207RH0003X
Hematology & Oncology Physician
DO3823
ME
207RH0003X
Hematology & Oncology Physician
Primary
OS025594
PA
Other
Enumeration date
05/23/2018
Last updated
02/09/2026
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