Individual
EDWARD E JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
243 CHARLES ST, 9TH FLOOR, BOSTON, MA 02114-3002
(617) 331-1541
Mailing address
149 LANE RD, CHESTER, NH 03036-4023
(617) 331-1541
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
33730
MA
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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