Individual
DR. EDMON Y JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 LINCOLN ST, 5TH FLOOR, FRAMINGHAM, MA 01702-8200
(508) 875-5585
(508) 820-0882
Mailing address
85 LINCOLN ST, 5TH FLOOR, FRAMINGHAM, MA 01702-8200
(508) 875-5585
(508) 820-0882
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
56601
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3035565
—
MA
Enumeration date
10/05/2006
Last updated
10/24/2008
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