Individual
DR. JONATHAN M JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
148 WORCESTER ST, WEST BOYLSTON, MA 01583-1751
(508) 835-1735
(508) 835-1736
Mailing address
148 WORCESTER ST, WEST BOYLSTON, MA 01583-1751
(508) 835-1735
(508) 835-1736
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
227913
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
227913
MA
Other
Enumeration date
05/30/2006
Last updated
08/08/2008
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