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Contact Information

DANA R JACKSON, MD
22 S GREENE ST
BALTIMORE, MD21201-1544
 Phone: 703-568-9597
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DANA R JACKSON · (Male)

NPI Number 1780825984
Status Active
Credentials MD
Entity Individual
Enumeration date 03/18/2009
Last updated 02/24/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • MD License # D70293
  • PA License # MD460638
Hospital affiliation(s) Not Available
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.

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