NPI 1053338665

Cynthia Jackson, PHD

Practitioner Pathology Specialist/Technologist Providence, RI

Practice location

Address: 593 Eddy St Department of Pathology Apc 12, Providence, RI 02903-4923
Phone: (401) 444-4370
Fax: (401) 444-8514

Registered specialties

Pathology Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Q00000X Licence LS842 (RI)

Other Specialist/Technologist, Pathology providers in Rhode Island →

Registry record

NPI: 1053338665
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jul 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.