JOSEPH JOHN JACOB

WORCESTER, MA
NPI1912469495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MA  1016855)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-03
Last Update Date2024-05-28
Business Address
Dr. JOSEPH JOHN JACOB MD
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-856-5749
Mailing Address
Dr. JOSEPH JOHN JACOB MD
PO BOX 415348
BOSTON, MA 02241-5348
Phone number: 800-225-8885