Individual provider · Type 1 NPI

Benjamin Materi Jackson, MD

Vascular Surgery Physician · Allentown, PA

NPI number 1164588448 Active

Practice location

1259 S Cedar Crest Blvd Ste 301
Allentown, PA 18103-6206

Call (610) 402-9400 Map

Fax (610) 437-8807

Mailing address

3400 Spruce Street, 4 Silverstein Building
Philadelphia, PA 19104-4206

Other practice locations

  • 3400 Spruce Street, 4 Silverstein Building, Philadelphia, PA 19104-4206 · (215) 615-4949

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000XMD420325 (PA)
Vascular Surgery Physician 2086S0129XMT047810T (PA)
Vascular Surgery Physician Primary 2086S0129XMD420325 (PA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

9 other providers at this address

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About NPI 1164588448

Benjamin Materi Jackson, MD's National Provider Identifier is 1164588448, issued on Dec 29, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Allentown, PA. The record was last updated on Jul 18, 2022.