Organization
ATLANTIC EMERGENCY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY R JACOBS M.D. (PRESIDENT)
(978) 469-5520
Entity
Organization
Contact information
Practice address
140 LINCOLN AVE, HAVERHILL, MA 01830-6700
(978) 469-5520
(781) 828-2471
Mailing address
1 EDWARD ST, CANTON, MA 02021-2303
(781) 828-3533
(781) 828-2471
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
600132
TUFTS HEALTH PLAN
MA
01
—
601512
HARVARD PILGRIM HEALTH
MA
05
—
9711406
—
MA
01
—
M12282
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
06/19/2006
Last updated
08/22/2020
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