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Individual

JOSEPH JAMES JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2801 NEW MEXICO AVE NW, APT. 1411, WASHINGTON, DC 20007-3921
(202) 944-5055
Mailing address
2801 NEW MEXICO AVE NW, APT. 1411, WASHINGTON, DC 20007-3921

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07882100
NJ
208000000X
Pediatrics Physician
42-0009397
VT
208000000X
Pediatrics Physician
D30788
MD
208000000X
Pediatrics Physician
MD-028632-E
PA

Other

Enumeration date
05/04/2010
Last updated
05/04/2010
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