Search › New Jersey › 363A00000X
Crystal Jackson, PA C
NPI 1548298953 · on the registry since 2006
Practice
- Address
- 61 1st St
South Orange, NJ 07079 - Phone
- (973) 762-8344
- Fax
- (973) 762-1626
- Organisation at this address
- South Mountain Orthopaedic Associates Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-06-24
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 New Jersey