Individual
DR. ANGELA MARIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1335
(570) 271-6516
Mailing address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301092668
MI
2084P0800X
Psychiatry Physician
Primary
MD456569
PA
390200000X
Student in an Organized Health Care Education/Training Program
4301092668
MI
Other
Enumeration date
06/19/2008
Last updated
04/19/2017
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