Individual
DORIAN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
245 N 15TH ST, MAIL STOP 1011, PHILADELPHIA, PA 19102-1101
(215) 762-2365
(215) 762-1307
Mailing address
245 N 15TH ST, MAIL STOP 1011, PHILADELPHIA, PA 19102-1101
(215) 762-2365
(215) 762-1307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT195117
PA
Other
Enumeration date
06/11/2009
Last updated
06/05/2012
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