Richard P Jacobs, M.D.
Radiology, Diagnostic Radiology in Waltham, MA. Individual provider (NPI-1).
NPI number1790800639
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790800639
- Entity type
- Individual (NPI-1)
- Name
- Richard P Jacobs
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 48723 | MA | Yes |
Practice location
200 West StWaltham, MA 02451-1121
Phone 781-431-5127
Mailing address
74 Front StHopkinton, MA 01748-1912
Phone 781-431-5127
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