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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