Individual
DR. SELVIN SAM JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, BOSTON, MA 02114-2696
(617) 726-1721
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT213402
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD19461
RI
207RP1001X
Pulmonary Disease Physician
Primary
1016275
MA
207RP1001X
Pulmonary Disease Physician
MD19461
RI
Other
Enumeration date
05/17/2017
Last updated
04/28/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us