Individual
RICHARD PATRICK JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5200 CENTRE AVE, SUITE 205, PITTSBURGH, PA 15232-1300
(412) 681-6632
(412) 681-8760
Mailing address
5200 CENTRE AVE, SUITE 205, PITTSBURGH, PA 15232-1300
(412) 681-6632
(412) 681-8760
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD013106E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000884425 0002
—
PA
01
—
JA135114
PA BLUE SHIELD
PA
Enumeration date
03/22/2006
Last updated
03/22/2016
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