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Susan Jackson, D.O
NPI 1780749671 · on the registry since 2006
Practice
- Address
- 25066 Sr 11
Hallstead, PA 18822 - Phone
- (570) 879-5249
- Fax
- (570) 879-2418
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
Family Medicine Physician - Licence states on file
- MO, NY, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-05-08
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 Pennsylvania