Individual
DOMINIQUE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(484) 862-3200
Mailing address
59 POLDER DR, FEASTERVILLE TREVOSE, PA 19053-1567
(215) 694-6731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT021445
PA
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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