Individual
DR. DAVID REID JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
55 TREMONT STREET, CHARLESTOWN, MA 02129-3148
(617) 242-5371
Mailing address
55 TREMONT STREET, CHARLESTOWN, MA 02129-3148
(617) 242-5371
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
151320
MA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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