NPI 1073600896
Michael B. Jackson, MD
Practice location
- Address
- 80 River St 3d, Hoboken, NJ 07030-5626
- Phone
- (201) 244-7799
- Mailing address
- 112 Churchill Rd, Tenafly, NJ 07670-3120
Registered specialties (3)
Psychiatry Physician
Primary
Forensic Psychiatry Physician
Psychiatry Physician
Registry record
- NPI
- 1073600896
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Oct 2006
- Record last updated
- 10 Sep 2019
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.