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Individual

DR. GENE M JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1090 NEW LONDON AVE, CRANSTON, RI 02920-3035
(401) 463-5778
(401) 463-3582
Mailing address
1090 NEW LONDON AVE, CRANSTON, RI 02920-3035
(401) 463-5778
(401) 463-3582

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO00480
RI

Other

Enumeration date
03/09/2006
Last updated
12/18/2007
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