Provider Demographics
NPI:1841431798
Name:HOWE, JACOB AUGUSTUS (MD)
Entity Type:Individual
Prefix:
First Name:JACOB
Middle Name:AUGUSTUS
Last Name:HOWE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 MAIN ST
Mailing Address - Street 2:SUITE 112
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-4540
Mailing Address - Country:US
Mailing Address - Phone:781-338-7270
Mailing Address - Fax:781-396-5086
Practice Address - Street 1:101 MAIN ST
Practice Address - Street 2:SUITE 112
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-4540
Practice Address - Country:US
Practice Address - Phone:781-338-7270
Practice Address - Fax:781-396-5086
Is Sole Proprietor?:No
Enumeration Date:2009-03-23
Last Update Date:2014-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2498622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry