Whalio Doctors

NPI 1073600896

Michael B. Jackson, MD

Practitioner Psychiatry Physician Hoboken, NJ

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
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 234087 (NY)
Forensic Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084F0202X Licence 25MA08023100 (NJ)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 25MA08023100 (NJ)

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.