Individual
JEFFREY M JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3807
(215) 707-4414
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD429023
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01774987
—
NY
Enumeration date
11/18/2005
Last updated
12/11/2020
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