Individual
ERICA LEIGH JACOVETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 MEDICAL CENTER DR STE 2700, BRUNSWICK, ME 04011-2669
(207) 721-8715
Mailing address
12 SKYLINE DR, NEW YORK MEDICAL COLLEGE, DEPT OF OB/GYN, HAWTHORN, NY 10532
(914) 594-2112
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD23897
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2016
Last updated
10/08/2020
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