Provider Demographics
NPI:1447392493
Name:JACOBSON, SARAH NAOMI (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:NAOMI
Last Name:JACOBSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:695 OAK GROVE AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4351
Mailing Address - Country:US
Mailing Address - Phone:650-327-5783
Mailing Address - Fax:650-327-5510
Practice Address - Street 1:695 OAK GROVE AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4351
Practice Address - Country:US
Practice Address - Phone:650-327-5783
Practice Address - Fax:650-327-5510
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA95483207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology