Individual
MARK I JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 FOUNDERS ST STE 102, WILLIMANTIC, CT 06226-2050
(860) 456-2898
Mailing address
PO BOX 1147, PORTSMOUTH, NH 03802-0127
(603) 498-5166
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
9159
NH
Other
Enumeration date
12/02/2005
Last updated
08/01/2023
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