Individual
DR. JOANNA SARAH JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
8901 CLEMENT AVE, BALTIMORE, MD 21234-2603
(410) 661-4670
(410) 661-4671
Mailing address
8571 CASTLEMILL CIR, BALTIMORE, MD 21236-2606
(531) 777-3904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8718
NE
207Q00000X
Family Medicine Physician
Primary
D96928
MD
Other
Enumeration date
07/05/2020
Last updated
06/27/2023
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