Tamiko V Jackson Md

LBN: New Haven Pediatric & Adolescent Medical Serv
Tamiko V Jackson Md is an health care organization with primary practice located at 1423 Chapel St Unit 2B, New Haven CT 06511. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. New Haven Pediatric & Adolescent Medical Serv can be contacted via phone (203) 752-0706, or through Jackson, Angel via phone (203) 906-3854.

Contact Information

Primary practice address
1423 Chapel St Unit 2B New Haven CT 06511
Phone: (203) 752-0706
Fax: (203) 772-0387
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Angel
Phone: (203) 906-3854

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0136872 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0002815 Connecticut

Profile Details

NPI number 1962680934
LBN Legal business name New Haven Pediatric & Adolescent Medical Serv
DBA Doing business as Tamiko V Jackson Md
Authorized official Jackson, Angel
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2008
Last updated Feb 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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