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Individual
TOM JACOB
Active
Individual
TOM JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
296407
NY
208M00000X
Hospitalist Physician
296407
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/07/2015
Last updated
06/28/2023
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