Individual
JACOB JO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 ORLEANS ST, DEPARTMENT OF NEUROSURGERY, ZAYED TOWER, MAILSTOP 6007, BALTIMORE, MD 21287-0010
(201) 491-1803
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
05/03/2024
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