Individual
MR. JACOB KANJUPARAMBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.
Contact information
Practice address
3000 ARLINGTON AVE, TOLEDO, OH 43614-2595
(419) 383-3556
(419) 383-3550
Mailing address
3355 GLENDALE AVE FL 3, TOLEDO, OH 43614-2426
(419) 419-3556
(419) 383-3550
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67000106
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2503588
—
OH
Enumeration date
10/03/2005
Last updated
05/09/2018
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