Individual
DANIEL A JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
501 W 14TH ST, WILMINGTON, DE 19801-1013
(302) 428-4410
(302) 428-4078
Mailing address
200 HYGEIA DR, CCHS PHYSICIAN CONTRACTING, SUITE 2300, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C2-0011850
DE
Other
Enumeration date
05/02/2013
Last updated
10/24/2016
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