Individual
MR. JACOB MAGEE SANDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 BURLINGTON MALL RD., LAHEY CLINIC, BURLINGTON, MA 01805
(916) 734-7080
(781) 744-7553
Mailing address
41 BURLINGTON MALL RD., ONCOLOGY DEPARTMENT, LAHEY CLINIC, BURLINGTON, MA 01805
(781) 744-8301
(781) 744-7553
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A97655
CA
207RH0003X
Hematology & Oncology Physician
Primary
252674
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093733A
—
MA
Enumeration date
01/11/2007
Last updated
12/18/2012
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