National Provider Identifier Database

DOUGLAS T JACKSON, MD – NPI #1962472407
Critical Care Medicine

An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.


Contact Information

DOUGLAS T JACKSON, MD
150 BARGEN ST
F 102
NEWARK, NJ07103
Phone: 973-972-3555
Fax: 973-972-3510
Website:
Specialty Taxonomy Code
* Critical Care Medicine 207LC0200X

* Indicates primary specialty

NPI Profile & details for DOUGLAS T JACKSON

NPI Number 1962472407
Credentials MD
Entity Individual
Enumeration date 01/26/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NJ License #: 25MA06601400
  • NJ Medicaid: 6716407
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DOUGLAS T JACKSON, MD

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