Individual provider · Type 1 NPI

Jacob Bamford Coblyn, PA

Medical Physician Assistant · Palmer, MA

NPI number 1821618489 Active

Practice location

40 Wright St
Palmer, MA 01069-1138

Call (413) 370-5400 Map

Fax (413) 370-5654

Mailing address

280 Chestnut St Fl 2
Springfield, MA 01199-1001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XPA8016 (MA)

Medical Physician Assistant: Definition to come...

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About NPI 1821618489

Jacob Bamford Coblyn, PA's National Provider Identifier is 1821618489, issued on Apr 23, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Palmer, MA. The record was last updated on Aug 30, 2021.