Jacobsen, Eric David

Jacobsen, Eric David is an individual health care provider with primary practice located at 44 Binney St Dana 1B30, Dana-Farber Cancer Institute, Boston MA 02115-6013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Jacobsen, Eric David can be contacted via phone (617) 632-6633.

Contact Information

Primary practice address
44 Binney St Dana 1B30, Dana-Farber Cancer Institute Boston MA 02115-6013
Phone: (617) 632-6633
Fax: (617) 632-5168
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 219248 Massachusetts

Profile Details

NPI number 1457321861
LBN Legal business name Jacobsen, Eric David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457321861 NPPES
Massachusetts Other 219248 TUFTS HEALTH PLAN
Massachusetts Other AA38909 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2102234 TUFTS HEALTH PLAN
Massachusetts Other 6145315 TUFTS HEALTH PLAN

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