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Individual

MICHAEL JOSE JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 275-4912
(585) 276-2144
Mailing address
601 ELMWOOD AVE, BOX MED, ROCHESTER, NY 14642-0001
(585) 275-4912
(585) 276-2144

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
208M00000X
Hospitalist Physician
Primary
259469-1
NY

Other

Enumeration date
02/28/2008
Last updated
02/15/2011
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