Carl-Christian Andrew Jackson
Surgeon Pediatric Surgery Cardiothoracic Vascular Surgeon
750 Washington St Tufts-Nemc #344
Boston
, Massachusetts 02111-1526
Carl-Christian Andrew Jackson
Surgeon Pediatric Surgery Cardiothoracic Vascular Surgeon
750 Washington St Tufts-Nemc #344
Boston
, Massachusetts 02111-1526
(617) 636-5025
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About
Features
Specialties
- Surgeon
- Pediatric Surgery
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Carl-Christian Andrew Jackson
- 750 Washington St Tufts-Nemc #344
- Boston, MA
- Zip : 02111-1526
- Phone : (617) 636-5025
Second Address
- Carl-Christian Andrew Jackson
- 750 Washington St Tufts-Nemc #344
- Boston, MA
- Zip : 02111-1526
- Phone : (617) 636-5025
Reviews
FAQs
Where did Carl-Christian Andrew Jackson attend graduate school?
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What type of doctor is Carl-Christian Andrew Jackson
In what state does Carl-Christian Andrew Jackson practice in?
Where is Carl-Christian Andrew Jackson ’s practice located?
What is Carl-Christian Andrew Jackson ’s gender?
Is Carl-Christian Andrew Jackson a sole practitioner?
Is Carl-Christian Andrew Jackson accepting new patients?
What languages does Carl-Christian Andrew Jackson speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 036-106668 | IL |
| N | 208600000X | Surgeon | 036-106668 | IL |
| Y | 2086S0120X | Pediatric Surgery | 231415 | MA |
| N | 208G00000X | Cardiothoracic Vascular Surgeon | A88272 | CA |
National Provider Identifier
| NPI | 1235355173 |
|---|---|
| Provider Name | Carl-Christian Andrew Jackson |
| First Address | Boston, MA 02111-1526 |
| Second Address | Boston, MA 02111-1526 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2007 |
| Last Update Date | 08/08/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A882720 | (05) | CA |
| I18975 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.