Individual
DR. JACOB ZACHARY DEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3459 5TH AVE # NW628, PITTSBURGH, PA 15213-3236
(412) 692-2212
Mailing address
3600 FORBES AVENUE, FORBES TOWER - PLAZA LEVEL SUITE 140, PITTSBURGH, PA 15213
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MT218801
PA
207RP1001X
Pulmonary Disease Physician
MT218801
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2019
Last updated
07/01/2024
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