Individual
AVRUM G JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 MAYFIELD RD, SUITE 444, MAYFIELD HTS, OH 44124-2270
(440) 449-8890
Mailing address
6801 MAYFIELD RD, SUITE 444, MAYFIELD HTS, OH 44124-2270
(440) 449-8890
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036111024
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255465852
NPI
OH
05
—
2750296
—
OH
01
—
P00413524
RAILROAD MEDICARE
OH
Enumeration date
03/15/2007
Last updated
03/25/2011
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