Individual
STEPHEN B JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 MAIN ST, YARMOUTH, ME 04096-6723
(207) 846-9602
(207) 523-8586
Mailing address
100 GANNETT DR STE C, SOUTH PORTLAND, ME 04106-5900
(207) 523-3649
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
011883
ME
Other
Enumeration date
01/19/2006
Last updated
11/09/2018
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