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Carl-christian Andrew Jackson, MD
Pediatric Surgery Physician in Boston, Massachusetts
NPI 1235355173

Carl-christian Andrew Jackson is a Pediatric Surgery Physician based in Boston, MA and is specialized in Pediatric Surgery. Carl-christian Andrew Jackson practices in Boston, MA and has the professional credentials of MD. The NPI Number for Carl-christian Andrew Jackson is 1235355173 and holds a License No. 036-106668 (Massachusetts).

The current practice location address for Carl-christian Andrew Jackson is 750 Washington St, Boston, MA and can be reached out via phone at 617-636-5025.

Location: 750 Washington St, Boston, MA, 02111-1526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235355173
Provider Name
Carl-christian Andrew Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
750 Washington St, Boston, MA, 02111-1526
Phone Number
617-636-5025
Fax Number
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A882720 05 CA
institution
Provider Business Practice Location Address Details
Address
750 Washington St
City
Boston
State
Massachusetts
Zip
02111-1526
Phone Number
617-636-5025
Fax Number
person
Provider Business Mailing Address Details
Address
750 Washington St
City
Boston
State
Massachusetts
Zip
02111-1526
Phone Number
617-636-5025
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
231415 (Massachusetts)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
2086S0120X
License No.
A88272 (California)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Speciality
-
Taxonomy
208G00000X
License No.
036-106668 (Illinois)
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
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