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Individual

RON MATHEW JACOB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
30 MONUMENT RD # 1100, YORK, PA 17403-5024
(717) 851-2441
(717) 851-3521
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-2441

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD420245
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021930250001
PA
Enumeration date
03/17/2008
Last updated
04/13/2022
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