Individual
BENJAMIN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1078 W BALTIMORE PIKE, MEDIA, PA 19063-5105
(610) 565-8166
Mailing address
1078 W BALTIMORE PIKE, MEDIA, PA 19063-5105
(610) 565-2355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD443557
PA
207R00000X
Internal Medicine Physician
MT196037
PA
207RH0003X
Hematology & Oncology Physician
MD443557
PA
Other
Enumeration date
06/18/2009
Last updated
07/05/2023
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