# JACOBS AUDIOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194120808
- **Authorized official:** MARCIA JACOBS (OWNER)
- **Authorized official phone:** (301) 633-0906

## Contact information

- **Practice address:** 131 MAIN ST, STE 202, PRINCE FREDERICK, MD 20678-3336
- **Practice address phone:** (410) 535-0024
- **Mailing address:** 10 CEDARWOOD CT, ROCKVILLE, MD 20852-3406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 000676 MD | MD | Yes |

## Other

- **Enumeration date:** 10/24/2014
- **Last updated:** 03/26/2015