Individual
JACOB GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 STATE RD, LANCASTER, PA 17601-1812
(223) 287-9000
Mailing address
1305 WALT WHITMAN RD STE 300, MELVILLE, NY 11747-4300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
142705
PA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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