Jackson, Matthew J

Jackson, Matthew J is an individual health care provider with primary practice located at 243 Charles Street Mass Eye And Ear Infirmary, Boston MA 02114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Jackson, Matthew J can be contacted via phone (617) 573-4306.

Contact Information

Primary practice address
243 Charles Street Mass Eye And Ear Infirmary Boston MA 02114
Fax: (617) 659-4917

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 11607 Massachusetts

Profile Details

NPI number 1588647911
LBN Legal business name Jackson, Matthew J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jul 8th, 2007 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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All States NPI 1588647911 NPPES
Massachusetts MEDICAID 0264822
Massachusetts Other 40346
Massachusetts Other 757863

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