Individual
ROBERT J JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
42 DALLAS HILL RD, RANGELEY, ME 04970
(207) 864-3303
(207) 864-2969
Mailing address
42 DALLAS HILL RD, RANGELEY, ME 04970
(207) 864-3303
(207) 864-2969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
013707
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
309990099
—
ME
Enumeration date
04/12/2006
Last updated
10/12/2012
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