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Joseph Jackson

NPI 1619834736 · on the registry since 2026

Practice

Address
625 Hungerford Dr
Rockville, MD 20850
Phone
(240) 314-5161
Organisation at this address
Giant Of Maryland Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
183700000X
183700000X
Also registered as
247200000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland