NPI 1013057900

Ian M Jacobson, MD

Practitioner Emergency Medicine Physician Providence, RI

Practice location

Address: 825 Chalkstone Ave, Providence, RI 02908-4728
Phone: (330) 493-4443
Mailing address: 4535 Dressler Rd NW, Canton, OH 44718-2545

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD08888 (RI)

Other Emergency Medicine providers in Rhode Island →

Registry record

NPI: 1013057900
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.