Active NPIIndividual providerSole proprietor

Dr. David R Jacoby, MD, PHD

Psychiatry & Neurology, Neurology in Charlestown, Massachusetts

NPI Number1902992449
Practice location
55 Tremont Street, Charlestown, MA 02129-3148
Fax
—
Last updated
July 8, 2007

David Reid Jacoby is a Psychiatry & Neurology, Neurology based in Charlestown, MA. David Reid Jacoby practices in Charlestown, MA and has the professional credentials of MD, PHD. The NPI Number for David Reid Jacoby is 1902992449 and holds a License No. 151320 (MA). The current practice location address for David Reid Jacoby is 55 Tremont Street, Charlestown, MA 02129-3148 and can be reached out via phone at 617-242-5371.

Provider Profile Details

NPI Number
1902992449
Provider Name
David Reid Jacoby
Credential
MD, PHD
Provider Entity Type
Individual
Gender
Male
Address
55 Tremont Street, Charlestown, MA 02129-3148
Phone Number
617-242-5371
Primary Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Tremont Street
Charlestown, MA 02129-3148
Zip
02129-3148
Phone Number
617-242-5371
Charlestown, MA 02129Get directions →

Provider Business Mailing Address Details

Address
55 Tremont Street
Charlestown, MA 02129-3148
City
Charlestown
State
MA
Zip
02129-3148
Phone Number
617-242-5371

License Information

License Number
151320
License State
MA
Taxonomy
Psychiatry & Neurology, Neurology · 2084N0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. David R Jacoby, MD, PHD?

The NPI number of Dr. David R Jacoby, MD, PHD is 1902992449. It was assigned on October 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. David R Jacoby, MD, PHD?

Dr. David R Jacoby, MD, PHD is registered under the primary taxonomy Psychiatry & Neurology, Neurology (code 2084N0400X), licensed in MA under license number 151320.

Where does Dr. David R Jacoby, MD, PHD practice?

The practice location is 55 Tremont Street, Charlestown, MA 02129-3148. The office can be reached at 617-242-5371 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902992449 directly on the NPPES registry website.

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