Individual
DR. MITCHELL SCOTT JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 ESSEX CENTER DR, SUITE 306, PEABODY, MA 01960-2910
(978) 531-0677
(978) 531-5676
Mailing address
6 ESSEX CENTER DR, SUITE 306, PEABODY, MA 01960-2910
(978) 531-0677
(978) 531-5676
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
150166
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3178102
—
MA
Enumeration date
07/03/2006
Last updated
01/17/2022
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