Individual
JACOB G DUBROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BOULEVARD, PHILADELPHIA, PA 19104-4306
(215) 662-3005
(215) 662-7011
Mailing address
3400 SPRUCE ST, 1 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-3005
(215) 662-7011
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
MD440106
PA
2085N0904X
Nuclear Radiology Physician
MT189404
PA
Other
Enumeration date
07/25/2007
Last updated
09/01/2015
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