DR. Adelso Tejada Jackson, MD is a student in an organized health care education training program in New York, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Adelso Tejada Jackson, MD NPI is 1518596394. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1 GUSTAVE L LEVY PL # 1259
NEW YORK, NY
ZIP 10029-504
Phone: (829) 281-0159
The enumeration date for this NPI number is 4/3/2020 and was last updated on 4/6/2020.