Individual
BENJAMIN RICHARD JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1405 S HIGH ST, COLUMBUS, OH 43207-1043
(614) 355-9000
(614) 355-9010
Mailing address
1405 S HIGH ST, COLUMBUS, OH 43207-1043
(614) 355-9000
(614) 355-9010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57.252461
OH
208000000X
Pediatrics Physician
57.252461
OH
Other
Enumeration date
03/23/2022
Last updated
05/27/2022
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