Individual
BRIAN R JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 MICHIGAN AVE NW, CMIO, WASHINGTON, DC 20010-2978
(202) 884-3969
Mailing address
1909 CARROLLTON RD, ANNAPOLIS, MD 21409-6243
(410) 757-1960
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
35-06-6978
OH
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD036297
DC
Other
Enumeration date
05/17/2006
Last updated
07/08/2007
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