Active NPIIndividual provider

Susan M Jacob, MD

Surgery in Burlington, Massachusetts

NPI Number1912575390
Practice location
41 Burlington Mall RD, Burlington, MA 01805-0001
Fax
—
Last updated
June 14, 2021

Susan M Jacob is a Surgery based in Burlington, MA. Susan M Jacob practices in Burlington, MA and has the professional credentials of MD. The NPI Number for Susan M Jacob is 1912575390 and holds a License No. 288809 (MA). The current practice location address for Susan M Jacob is 41 Burlington Mall RD, Burlington, MA 01805-0001 and can be reached out via phone at 781-744-7000.

Provider Profile Details

NPI Number
1912575390
Provider Name
Susan M Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
41 Burlington Mall RD, Burlington, MA 01805-0001
Phone Number
781-744-7000
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2021
Last Update Date
June 14, 2021
Certification Date
June 14, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
41 Burlington Mall RD
Burlington, MA 01805-0001
Zip
01805-0001
Phone Number
781-744-7000
Burlington, MA 01805Get directions →

Provider Business Mailing Address Details

Address
12 Briggs RD
Lexington, MA 02421-6337
City
Lexington
State
MA
Zip
02421-6337

License Information

License Number
288809
License State
MA
Taxonomy
Surgery · 208600000X · 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 Susan M Jacob, MD?

The NPI number of Susan M Jacob, MD is 1912575390. It was assigned on June 14, 2021 and is currently active in the NPPES registry.

What is the specialty of Susan M Jacob, MD?

Susan M Jacob, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 288809.

Where does Susan M Jacob, MD practice?

The practice location is 41 Burlington Mall RD, Burlington, MA 01805-0001. The office can be reached at 781-744-7000 (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 1912575390 directly on the NPPES registry website.

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