Individual
DR. MARK D. JACOBS
Active
Individual
DR. MARK D. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
242029
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242029
MEDICAL LICENSE
MA
01
—
404478
TUFTS HEALTH PLAN
MA
01
—
9239986
CIGNA
MA
01
—
9971374
AETNA
MA
01
—
AA173484
HPHC
MA
01
—
NPI
1124013883
MA
Enumeration date
09/19/2005
Last updated
12/19/2016
Update your record
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