Individual
JACOB TRACHTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
559 W GERMANTOWN PIKE, NORRISTOWN, PA 19403-4250
(484) 622-1695
(484) 622-4259
Mailing address
PO BOX 478, VILLANOVA, PA 19085-0478
(610) 527-0511
(610) 270-2308
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD014012E
PA
2084P0805X
Geriatric Psychiatry Physician
MD014012E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098303001
—
PA
Enumeration date
08/21/2006
Last updated
01/22/2019
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