Individual provider · Type 1 NPI

Cody Boyer Jackson, MD, PhD

Internal Medicine Physician · Philadelphia, PA

NPI number 1255033304 Active

Practice location

3400 Civic Center Blvd Fl 1
Philadelphia, PA 19104-5161

Call (215) 615-5864 Map

Mailing address

3400 Spruce St, West Gates Building 839
Philadelphia, PA 19104-4238

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Internal Medicine) Physician 207RC0200XMT237978 (PA)
Internal Medicine Physician Primary 207R00000XMD223559 (OR)
Pulmonary Disease Physician 207RP1001XMT237978 (PA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1255033304

Cody Boyer Jackson, MD, PhD's National Provider Identifier is 1255033304, issued on Mar 21, 2023. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2026.