Individual
DR. SHARON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1019 BROADWAY, WEST LONG BRANCH, NJ 07764-1326
(732) 229-6797
Mailing address
1019 BROADWAY, WEST LONG BRANCH, NJ 07764-1326
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA09880600
NJ
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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