Search › Rhode Island › 2086S0120X
Carl-Christian Jackson, MD
NPI 1235355173 · on the registry since 2007
Practice
- Address
- 2 Dudley St Ste 190
Providence, RI 02905 - Phone
- (401) 228-0623
- Fax
- (401) 868-2319
- Organisation at this address
- Sinoptics, Inc
Brown Urology, Inc.
Rhode Island Hospital
Cvt Surgical Group, Inc.
University Orthopedics, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 228
Additional practice sites
- 725 Albany Street, Suite 8c, Boston, MA
- 750 Washington St, Boston, MA
Registry record
- Primary taxonomy
- 2086S0120X
2086S0120X
- Also registered as
- 208G00000X
2086S0120X
208600000X - Licence states on file
- CA, RI, MA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-11-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island