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Individual
JACOB GILDEA
Active
Individual
JACOB GILDEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
MD-441990
PA
207ZC0500X
Cytopathology Physician
MD-441990
PA
207ZD0900X
Dermatopathology (Pathology) Physician
MD-441990
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD-441990
PA
Other
Enumeration date
01/26/2007
Last updated
07/17/2019
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