Individual
DR. DEVON JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
Mailing address
47 NEW SCOTLAND AVE, DEPARTMENT OF OB/GYN, ALBANY, NY 12208-3412
(518) 262-3095
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
57063
CT
390200000X
Student in an Organized Health Care Education/Training Program
63453
NY
Other
Enumeration date
07/02/2014
Last updated
03/26/2019
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