Individual
JULIAN ADAM JOHN JAKUBOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 MATTHEW ST, EMERGENCY DEPARTMENT, MARIETTA, OH 45750-1635
(740) 376-1939
(740) 374-1693
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
243361
NY
207P00000X
Emergency Medicine Physician
Primary
34010559
OH
207P00000X
Emergency Medicine Physician
79252871204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067141
—
OH
05
—
3810023412
—
WV
Enumeration date
06/22/2009
Last updated
07/14/2020
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