person
Dr. David Spencer Jackson, MD
Cardiovascular Disease Physician in Columbia, Maryland
NPI 1891796900

David Spencer Jackson is a Cardiovascular Disease Physician based in Hanover, MD and is specialized in Cardiovascular Disease. David Spencer Jackson practices in Columbia, MD and has the professional credentials of MD. The NPI Number for David Spencer Jackson is 1891796900 and holds a License No. D35217 (Maryland).

The current practice location address for David Spencer Jackson is 11055 Little Patuxent Pkwy, Columbia, MD and can be reached out via phone at 410-740-0789 and via fax at 410-740-7024.

Location: 11055 Little Patuxent Pkwy, Columbia, MD, 21076-3210
person
Provider Profile Details
NPI Number
1891796900
Provider Name
David Spencer Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11055 Little Patuxent Pkwy, Columbia, MD, 21076-3210
Phone Number
410-740-0789
Fax Number
410-740-7024
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
398140-03 01 MD CAREFIRST MD RENDERING
4238639 01 MD AETNA FEE FOR SERVICE
P528953 01 MD CAREFIRST MPOS
0477972 01 MD AETNA CAPITATED
478471500 05 MD
060041579 01 MD RR MEDICARE
318934 01 MD MAMSI SPECIALIST
3509-0006 01 MD CAREFIRST BLUECHOICE
018410 01 MD JHHC PROVIDER NUMBER
0149212 01 MD CIGNA PIN
institution
Provider Business Practice Location Address Details
Address
11055 Little Patuxent Pkwy
City
State
Zip
21044-2896
Phone Number
410-740-0789
Fax Number
410-740-7024
person
Provider Business Mailing Address Details
Address
11055 Little Patuxent Pkwy
City
State
Zip
21044-2896
Phone Number
410-740-0789
Fax Number
410-740-7024
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
D35217 (Maryland)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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