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Individual

DR. JACOB PIETER NOORDZIJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
830 HARRISON AVE STE 1400, BOSTON, MA 02118-2905
(617) 638-8124
(617) 414-4953
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
81945
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053379073
ME
05
110073822A
MA
05
3116032
NH
05
JN72402
RI
Enumeration date
05/01/2006
Last updated
10/22/2025
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