Individual
DR. CHARLOTTE D. JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
875 BLAKE WILBUR DR, CC2241, PALO ALTO, CA 94304-2205
(650) 725-8738
(650) 498-4696
Mailing address
679 MIRADA AVE, STANFORD, CA 94305-8477
(650) 725-8738
(650) 498-4696
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G27593
CA
207RX0202X
Medical Oncology Physician
G27593
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G275930
—
CA
Enumeration date
01/25/2007
Last updated
09/10/2008
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