Individual
DR. DARRYL BRETT JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5801 SPRUCE ST, PHILADELPHIA, PA 19139-3833
(610) 755-2594
Mailing address
5801 SPRUCE ST, PHILADELPHIA, PA 19139-3833
(610) 755-2594
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD044865L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00128550001
—
PA
05
—
0012855500001
—
PA
Enumeration date
01/23/2007
Last updated
10/19/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us