Individual
JOBY JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE, W/SPAN 2, BOSTON, MA 02215-5400
(617) 754-4677
(617) 632-0215
Mailing address
330 BROOKLINE AVE, W/SPAN 2, BOSTON, MA 02215-5400
(617) 754-4677
(617) 632-0215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T288042
MA
Other
Enumeration date
04/03/2017
Last updated
06/23/2021
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