Individual
EDWARD JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 340-4293
(781) 340-3782
Mailing address
55 FOGG RD, WEYMOUTH, MA 02190-2432
(781) 340-4293
(781) 340-3782
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
216943
MA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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