Individual
MICHAEL C JACOBELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1205 LANGHORNE NEWTOWN RD, SUITE 106, LANGHORNE, PA 19047-1219
(215) 757-5131
(215) 757-5870
Mailing address
1205 LANGHORNE NEWTOWN RD, SUITE 106, LANGHORNE, PA 19047-1219
(215) 757-5131
(215) 757-5870
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD024059E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009647870003
—
PA
Enumeration date
05/13/2006
Last updated
06/04/2008
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