Individual
DR. MOSHIR JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 479-5728
(419) 479-5968
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35070326
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013547
—
OH
Enumeration date
07/07/2005
Last updated
03/04/2025
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