Individual
DR. EDWARD JULIUS JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
62 HACKETT BLVD, ALBANY, NY 12209-1756
(518) 465-7062
(518) 449-1378
Mailing address
62 HACKETT BLVD, ALBANY, NY 12209-1718
(518) 465-7062
(518) 449-1378
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
129504
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00547764
—
NY
Enumeration date
03/03/2006
Last updated
07/01/2010
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