Individual
DR. KAREN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
635 COMMONWEALTH AVE, BU, BOSTON, MA 02215-1605
(617) 353-7516
(617) 353-2926
Mailing address
635 COMMONWEALTH AVE, BU, BOSTON, MA 02215-1605
(617) 353-7516
(617) 353-2926
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
204
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT0050
BCBS
MA
Enumeration date
03/21/2007
Last updated
07/08/2007
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