person
Dr. Joseph John Jacob, MD
Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts
NPI 1912469495

Joseph John Jacob is a Student in an Organized Health Care Education/Training Program based in Worcester, MA. Joseph John Jacob practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Joseph John Jacob is 1912469495 and holds a License No. (Massachusetts).

The current practice location address for Joseph John Jacob is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-856-5749 and via fax at 508-856-1860.

Location: 55 Lake Ave N, Worcester, MA, 01655-0002
person
Provider Profile Details
NPI Number
1912469495
Provider Name
Joseph John Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
55 Lake Ave N, Worcester, MA, 01655-0002
Phone Number
508-856-5749
Fax Number
508-856-1860
Provider Enumeration Date
04/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
State
Zip
01655-0002
Phone Number
508-856-5749
Fax Number
508-856-1860
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
State
Zip
01655-0002
Phone Number
508-856-5749
Fax Number
508-856-1860
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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