Organization
WILLIAM G JACKSON, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM G. JACKSON M.D. (OWNER)
(978) 462-3009
Entity
Organization
Contact information
Practice address
46 TOLL RD, UNIT B, SALISBURY, MA 01952-1435
(978) 462-3009
(978) 462-0177
Mailing address
46 TOLL RD, UNIT B, SALISBURY, MA 01952-1435
(978) 462-3009
(978) 462-0177
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
57551
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30213523
—
NH
05
—
9751301
—
MA
01
—
M18969
BCBS
MA
Enumeration date
01/19/2007
Last updated
03/31/2013
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