Individual
HOWARD TERRY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1838 GREENE TREE RD, SUITE 350, PIKESVILLE, MD 21208-6391
(410) 484-5686
(410) 484-6472
Mailing address
1838 GREENE TREE RD, SUITE 350, PIKESVILLE, MD 21208-6391
(410) 484-5686
(410) 484-6472
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D28792
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400281400
—
MD
Enumeration date
11/14/2005
Last updated
12/06/2011
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