Individual
DR. JULIA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4496
Mailing address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4966
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31241
NE
Other
Enumeration date
04/24/2017
Last updated
12/01/2021
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