Individual
DR. BRADFORD JOEL JACOBS
Active
Individual
DR. BRADFORD JOEL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC002599L
PA
213ES0131X
Foot Surgery Podiatrist
Primary
SC002599L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0909856
—
PA
Enumeration date
05/25/2006
Last updated
02/17/2020
Update your record
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