Individual
SUSAN M JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 BURLINGTON MALL RD, BURLINGTON, MA 01805-0001
(781) 744-7000
Mailing address
12 BRIGGS RD, LEXINGTON, MA 02421-6337
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
288809
MA
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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