IndividualActive
Benjamin Jackson, MD
NPI 1164588448 · Vascular Surgery Physician · Allentown, PA
Provider details
- NPI number
- 1164588448
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD420325 (PA)
Practice location
1259 S Cedar Crest Blvd Ste 301
Allentown, PA 18103-6206
Phone: (610) 402-9400
Fax: (610) 437-8807
Mailing address
3400 Spruce Street
Philadelphia, PA 19104-4206
Registry dates
- Enumerated
- 2006-12-29
- Last updated
- 2022-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.