Individual
DR. LEONARD STEVEN JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
803 OXFORD CRST, VILLANOVA, PA 19085-2054
(610) 520-4498
(610) 520-4498
Mailing address
803 OXFORD CRST, VILLANOVA, PA 19085-2054
(610) 520-4498
(610) 520-4498
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD-022237-E
PA
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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