NPI 1902828783 CONNIE A JACKSON M.D. CHESTNUT HILL MA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Connie A Jackson - NPI: 1902828783

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: CONNIE A JACKSON
NPI Number: 1902828783
Entity Type Code: Individual (1)
Gender: F
Credentials: M.D.
License Number: 71138
Business Practice Address: 55 Pond Ave
Brookline, MA - 024457170
Business Phone Number: 6172320202
Business Fax Number: 6177318749
Mailing Address: 82 Beacon St,
CHESTNUT HILL
State: MA
Postal Code: 024671303
Phone Number: 6174706843
Fax Number: 6177318749
NPI Enumeration Date: 07/24/2006
NPI Last Update Date: 08/19/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207V00000X
License Number: 71138
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Obstetrics & Gynecology
Taxonomy Specialization:
Taxonomy Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.


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