Individual
DR. MARSHALL LEWIS JACOBS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
FRONT STREET AND ERIE AVENUE, PHILADELPHIA, PA 19134-1095
(215) 429-5109
(215) 427-3860
Mailing address
FRONT STREET AND ERIE AVENUE, PHILADELPHIA, PA 19134-1095
(215) 429-5109
(215) 427-3860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD045029E
PA
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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