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Individual

JOSEPH M JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
701 OSTRUM ST, SUITE 602, BETHLEHEM, PA 18015-1152
(610) 865-5888
(610) 865-1697
Mailing address
701 OSTRUM ST, SUITE 602, BETHLEHEM, PA 18015-1152
(610) 865-5888
(610) 865-1697

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD037424E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000129237
UNISON HEALTH PLAN
01
0000155375601
UNITED HEALTHCARE
01
000154067
HIGHMARK BLUE SHIELD
05
0011789700002
PA
05
0067946
NJ
01
01201301
CAPITAL BLUE CROSS
01
1521554
GATEWAY HEALTH PLAN
01
20008418
AMERIHEALTH MERCY HEALTH
01
40433
GEISINGER HEALTH PLAN
Enumeration date
05/23/2005
Last updated
08/02/2013
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