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Organization

RICHARD P. JACOBS, M.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD P JACOBS M.D. (PRESIDENT)
(412) 681-6632
Entity
Organization

Contact information

Practice address
532 S AIKEN AVE, SUITE 414, PITTSBURGH, PA 15232-1521
(412) 681-6632
(412) 681-8760
Mailing address
532 S AIKEN AVE, SUITE 414, PITTSBURGH, PA 15232-1521
(412) 681-6632
(412) 681-8760

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001294209 0001
PA
01
1073572509
NPI
PA
Enumeration date
08/07/2007
Last updated
07/09/2009
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