Individual
MISS PAULA ANN JACOBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1627 CHEW ST, ALLENTOWN, PA 18102-3648
(610) 969-3390
(610) 969-3393
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-0661
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD034489E
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD034489E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD034489E
MEDICAL LICENSE NUMBER
PA
Enumeration date
07/10/2006
Last updated
05/17/2016
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