Search › New Jersey › 1041C0700X
Robert Jackson
NPI 1881003655 · on the registry since 2014 · sole proprietor
Practice
- Address
- 151 Knollcroft Rd # 116d
Lyons, NJ 07939 - Phone
- (908) 647-0180
- Fax
- (908) 604-5836
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-06
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