Organization
ATLANTIC CARDIOLOGY ASSOC
Active
Organization
ATLANTIC CARDIOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK I JACOBS MD (MANAGING PARTNER)
(603) 443-5300
Entity
Organization
Contact information
Practice address
333 BORTHWICK AVE, SUITE 401, PORTSMOUTH, NH 03801-7128
(603) 433-5300
(603) 433-0838
Mailing address
333 BORTHWICK AVE, SUITE 401, PORTSMOUTH, NH 03801-7128
(603) 433-5300
(603) 433-0838
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
437R
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30005060
—
NH
01
—
5141
CIGNA
—
01
—
95Y002150NH01
ANTHEM
—
01
—
C10781
RAILROAD
—
Enumeration date
12/02/2005
Last updated
05/24/2013
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