Individual
JACOB BORNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 HARRISON AVE, BOSTON, MA 02111-1802
(617) 636-6568
Mailing address
145 HARRISON AVE, BOSTON, MA 02111-1802
(617) 636-6568
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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