Individual
AMY P. JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
69 STATE ST, NORTHAMPTON, MA 01060-3049
(413) 586-8156
(413) 586-2992
Mailing address
69 STATE ST, NORTHAMPTON, MA 01060-3049
(413) 586-8156
(413) 789-8048
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
317
MA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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