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Organization

MILFORD DIAGNOSTIC IMAGINE PA

Active
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Organization

MILFORD DIAGNOSTIC IMAGINE PA

Active
Other names
MILFORD DIAGNOSTIC IMAGING
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY JACKERSON M.D. (HEAD DOCTOR)
(610) 459-3113
Entity
Organization

Contact information

Practice address
21 W CLARKE AVE, MILFORD, DE 19963-1840
(610) 459-3113
Mailing address
21 W CLARKE AVE, MILFORD, DE 19963-1840
(610) 459-3113

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0000603202
DE
Enumeration date
07/21/2005
Last updated
07/21/2022
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