Individual
JAMES ANDREW JACOBS
Active
Individual
JAMES ANDREW JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00846100
NJ
363A00000X
Physician Assistant
PA200001470
DC
363AM0700X
Medical Physician Assistant
PA200001470
DC
363AS0400X
Surgical Physician Assistant
Primary
25MP00846100
NJ
363AS0400X
Surgical Physician Assistant
PA200001470
DC
Other
Enumeration date
05/31/2022
Last updated
08/06/2024
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