Individual provider · Type 1 NPI
Edward E. Jacobs, MD
Otolaryngology/Facial Plastic Surgery Physician · Boston, MA
NPI number
1629268768
Active
Practice location
243 Charles St, 9th Floor
Boston, MA 02114-3002
Mailing address
149 Lane Rd
Chester, NH 03036-4023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 33730 (MA) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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About NPI 1629268768
Edward E. Jacobs, MD's National Provider Identifier is 1629268768, issued on Jul 25, 2007. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Boston, MA. The record was last updated on Jul 25, 2007.