Individual
GLEN C JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2363 MACARTHUR RD, WHITEHALL, PA 18052-4523
(570) 808-1093
(570) 808-7878
Mailing address
2363 MACARTHUR RD, WHITEHALL, PA 18052-4523
(484) 526-1735
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD452555
PA
208600000X
Surgery Physician
N0127
TX
2086S0105X
Surgery of the Hand (Surgery) Physician
24108
WV
2086S0105X
Surgery of the Hand (Surgery) Physician
25MA08617700
NJ
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
MD452555V
PA
Other
Enumeration date
07/22/2008
Last updated
02/27/2026
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