MR. Dewey Thomas Jackson, MD

NPI #1659330108 in Fairport, New York

Provider Information

NPI Number: 1659330108
Entity Type: Individual
Name: MR. Dewey Thomas Jackson, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Mar 22, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2828 BAIRD RD
City: Fairport
State: New York
ZIP Code: 14450-1247
Phone: (585) 248-9670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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