Individual
DR. DEBORAH S. JACOBS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
464 HILLSIDE AVE, SUITE 205, NEEDHAM, MA 02494-1227
(781) 726-7333
(781) 726-7310
Mailing address
464 HILLSIDE AVE, SUITE 205, NEEDHAM, MA 02494-1227
(781) 726-7333
(781) 726-7310
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
74006
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074006
TUFTS
MA
05
—
3078795
—
MA
01
—
AA58791
HPHC
MA
01
—
J11297
BCBS
MA
Enumeration date
05/13/2006
Last updated
07/08/2007
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