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Contact Information

RICHARD M JACKSON, MD
81 HIGHLAND AVE
SALEM, MA01970
 Phone: 978-741-1200
 Fax: 978-740-4731
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RICHARD M JACKSON · (Male)

NPI Number 1316054943
Status Active
Credentials MD
Entity Individual
Enumeration date 08/23/2006
Last updated 07/17/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 75533
Hospital affiliation(s)
  • MASSACHUSETTS GENERAL HOSPITAL - (Acute Care)
    55 FRUIT STREET
    BOSTON, MA 02114
  • NORTH SHORE MEDICAL CENTER - (Acute Care)
    81 HIGHLAND AVENUE
    SALEM, MA 01970
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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