Individual
DANIEL H JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
64 WILLISTON RD, BROOKLINE, MA 02445-2141
(617) 232-6066
Mailing address
64 WILLISTON RD, BROOKLINE, MA 02445-2141
(617) 232-6066
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56745
MA
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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