Individual
DR. STEPHANIE ADELE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6569 NORTH CHARLES STREET, PPW 307, BALTIMORE, MD 21204
(443) 849-2767
(443) 849-8050
Mailing address
6569 NORTH CHARLES STREET, PPW 307, BALTIMORE, MD 21204
(443) 849-2767
(443) 849-8050
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0081590
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109487400
—
MD
Enumeration date
05/14/2010
Last updated
02/06/2017
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