Individual
DR. BENJAMIN F. JACOBS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4200 HOUMA BLVD, FL 2, METAIRIE, LA 70006-2970
(504) 454-4102
(504) 454-4192
Mailing address
4200 HOUMA BLVD, FL 2, METAIRIE, LA 70006-2970
(504) 454-4120
(504) 454-4192
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
010848
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164526
—
LA
Enumeration date
06/20/2005
Last updated
07/21/2022
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