Mark D. Jacobs MD

NPI 1124013883 - Internal Medicine - 207R00000X

NPI Details
NPI 1124013883
Gender Male
Enumeration Date 09/19/2005
Last Updated 12/06/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
63 PLEASANT ST
WATERTOWN MA, 02472-2386, US
Phone (617) 924-6484
Fax (781) 893-0634
Business Location
63 PLEASANT ST
WATERTOWN MA, 02472-2386, US
Phone (617) 924-6484
Fax (781) 893-0634
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 242029
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According to our database, Dr. Mark D. Jacobs MD NPI is 1124013883, taxonomy code is 207R00000X and license number is 242029, license state is located at Massachusetts. Mark D. Jacobs MD physically located at 63 Pleasant St, Watertown MA, 02472-2386. NPI Number Mark D. Jacobs MD has the Individual type.

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1124013883 NPI number is provided on an as is basis without warranty of any kind. 1124013883 is maintained by the National Plan & Provider Enumeration System. The contents of Mark D. Jacobs MD are for informational purposes only.