Individual
DR. ALAN MARC JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 JOSLIN PL, BOSTON, MA 02215-5306
(617) 732-2594
(617) 226-5805
Mailing address
47 GROVE ST, WAYLAND, MA 01778-1003
(617) 226-5810
(617) 226-5805
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32953
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32953
STATE LICENSE
MA
Enumeration date
10/17/2006
Last updated
07/08/2007
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