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NPI Verification

National Provider Identifier: 1124043500

Thomas Lane Jackson, MD

Individual Provider

Credentials

MD

Primary Specialty

Urology

Code: 208800000X

Practice Address

246 PLEASANT ST STE G2

CONCORD HOSPITAL CENTER FOR UROLOGIC CARE

CONCORD, NH 033012548

Phone: 603-224-3388

NPI Enumeration Date

July 13, 2006

NPI Number

1124043500

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Thomas Jackson, MD - NPI 1124043500 | Provider Verification | HormoneMap