Individual
DR. JAY RUSWIN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 S QUEEN ST, STE 200, YORK, PA 17403-4829
(717) 812-2316
(717) 848-5540
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-2316
(717) 812-2549
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD016808E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000768337
—
PA
01
—
0068408000
AMERIHEALTH 65 PA
PA
01
—
01475302
CAPITAL BLUE CROSS-WMG
PA
01
—
030261
JOHNS HOPKINS
PA
01
—
060973
HIGHMARK BLUE SHIELD
PA
01
—
1142788
AMERIHEALTH MERCY-WMG
PA
01
—
1519360
GATEWAY-WMG
PA
01
—
4296841
AETNA
PA
01
—
433281
MAMSI-WMG
PA
01
—
525991
CAREFIRST MD BCBS
MD
01
—
7312
GEISINGER
PA
01
—
80827
UNISON-WMG
PA
Enumeration date
07/06/2006
Last updated
02/10/2014
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