Individual
MATTHEW JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 S PACA ST, 6TH FLOOR, SUITE 200, BALTIMORE, MD 21201
(667) 214-2208
Mailing address
110 S PACA ST, 6TH FLOOR, SUITE 200, BALTIMORE, MD 21201
(667) 214-2208
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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