Individual
PAMELA J JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 E LEE ST, BALTIMORE, MD 21202-6000
(443) 682-6610
(410) 685-1524
Mailing address
PO BOX 62063, BALTIMORE, MD 21264-2063
(410) 706-5181
(410) 706-5103
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D36044
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280001200
—
MD
Enumeration date
06/27/2006
Last updated
03/30/2011
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