Organization
THOMAS N JACOB MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JACOB MD (OWNER)
(703) 522-8294
Entity
Organization
Contact information
Practice address
1635 N GEORGE MASON DR, STE 240, ARLINGTON, VA 22205-3601
(703) 522-8294
(703) 522-4915
Mailing address
1635 N GEORGE MASON DR, STE 240, ARLINGTON, VA 22205-3601
(703) 522-8294
(703) 522-4915
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
101029299
VA
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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