Individual
KAREN RITA JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 ALBANY ST, SHAPIRO 9, SUITE B, BOSTON, MA 02118-2526
(617) 414-4290
(617) 414-4285
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
229163
MA
207RI0200X
Infectious Disease Physician
Primary
229163
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110073936A
—
MA
Enumeration date
12/07/2005
Last updated
07/15/2014
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