Connie A Jackson (NPI# 1902828783, PAC ID# 2062468861) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1902828783 |
| PAC ID by PECOS | 2062468861 |
| Professional Enrollment ID | I20050324000663 |
| Full Name | Connie A Jackson |
| Address |
55 Pond St Brookline MA 02445-7170 |
| Phone Number | 6172320202 |
| Gender | F |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 55 Pond St, Brookline, MA 02445-7170 | 6172320202 |
| Street Address |
55 POND ST |
| City | BROOKLINE |
| State | MA |
| Zip | 02445-7170 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah K Manegold | Psychiatry | 1842 Beacon St, Suite 402, Brookline, MA 02445-1900 | |
| Brittany Lowey | Physical Therapy | Paggi Physical Therapy and Sports Rehabilitation, Inc | 1842 Beacon St, Suite 207, Brookline, MA 02445-1922 |
| Adam Paggi | Physical Therapy | Paggi Physical Therapy and Sports Rehabilitation, Inc | 1842 Beacon St, Suite 207, Brookline, MA 02445-1922 |
| Jonathan Elcock | Physical Therapy | Paggi Physical Therapy and Sports Rehabilitation, Inc | 1842 Beacon St, Suite 207, Brookline, MA 02445-1922 |
| Wayne M London | Chiropractic | 1842 Beacon St, Suite 205, Brookline, MA 02445-1922 | |
| Ashley Traniello | Physical Therapy | Paggi Physical Therapy and Sports Rehabilitation, Inc | 1842 Beacon St, Suite 207, Brookline, MA 02445-1922 |
| Howard Liu | Internal Medicine | 1842 Beacon St, Suite 302, Brookline, MA 02445-1922 | |
| Jennifer Meyer | Psychiatry | 1842 Beacon St, Suite 402, Brookline, MA 02445-1922 | |
| Samuel Nun | Obstetrics/gynecology | 1842 Beacon St, Suite 301, Brookline, MA 02445-1922 | |
| Farahnaz Maniei | Psychologist, Clinical | 1842 Beacon St, Suite 404, Brookline, MA 02445-1930 | |
| Find all physicians in zip 02445 | |||
| City | BROOKLINE |
| Zip Code | 02445 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BROOKLINE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Connie A Jackson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.