Individual
SCOTT JACOBSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 HORSESHOE DR, BELLINGHAM, MA 02019-1416
(978) 337-7407
Mailing address
10 HORSESHOE DR, BELLINGHAM, MA 02019-1416
(978) 337-7407
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
8540
MA
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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