CARL-CHRISTIAN JACKSON, MD

Surgery - Pediatric Surgery

Active Individual
NPI: 1235355173

Practice Address

2 DUDLEY ST STE 190
Providence, RI 02905

Phone: (401) 228-0623

Specialties

Specialty Code Primary License
Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X No A88272 (CA)
Surgery - Pediatric Surgery 2086S0120X No 231415 (MA)
Surgery 208600000X No 036-106668 (IL)

Frequently Asked Questions

NPI 1235355173 is the National Provider Identifier for CARL-CHRISTIAN JACKSON, MD, a Surgery - Pediatric Surgery provider located in Providence, RI. This NPI was enumerated on April 18, 2007.
CARL-CHRISTIAN JACKSON, MD practices at 2 DUDLEY ST STE 190, Providence, RI 02905.

Quick Facts

NPI
1235355173
Type
Individual
Enumerated
Apr 18, 2007
Last Updated
Nov 26, 2025

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