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Contact Information

JULIET C JACOBSEN, MD DPHI
55 FRUIT STREET
FND 600
BOSTON, MA02114-2696
 Phone: 617-724-9197
 Fax: 617-724-8693
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JULIET C JACOBSEN · (Female)

NPI Number 1245221480
Status Active
Credentials MD DPHI
Entity Individual
Enumeration date 11/04/2005
Last updated 02/26/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 223973
  • MA Medicaid 2101076
  • MA Other J28570 BCBS MA
  • MA Other 468394 TUFTS HEALTH PLAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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