Whalio Doctors

NPI 1053391748

Stephen B Jacobs, MD

Practitioner Pediatrics Physician Yarmouth, ME

Practice location

Address
259 Main St, Yarmouth, ME 04096-6723
Phone
(207) 846-9602
Fax
(207) 523-8586
Mailing address
100 Gannett Dr STE C, South Portland, ME 04106-5900

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 011883 (ME)

Registry record

NPI
1053391748
Entity type
Individual
Sex (as registered)
Male
NPI issued
19 Jan 2006
Record last updated
9 Nov 2018

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.