Individual
MATTHEW JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 SAINT PAUL ST, BALTIMORE, MD 21202-2102
(410) 332-9000
Mailing address
301 SAINT PAUL ST, BALTIMORE, MD 21202-2102
(410) 332-9000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101022673
MI
Other
Enumeration date
07/14/2016
Last updated
10/13/2021
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