Individual
JACOB P. LAUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44 BINNEY ST, D1B30, BOSTON, MA 02115-6013
(617) 632-2127
(617) 632-6624
Mailing address
44 BINNEY ST, D1B30, BOSTON, MA 02115-6013
(617) 632-2127
(617) 632-6624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200101572
NC
207RX0202X
Medical Oncology Physician
Primary
236121
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13186
BLUE CROSS BLUE SHIELD
—
05
—
7913186
—
NC
Enumeration date
01/05/2006
Last updated
03/07/2023
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