Individual
DR. MARIA AGUIAR JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 CHILDREN'S LANE, NORFOLK, VA 23507-1910
(757) 668-7275
(757) 668-9175
Mailing address
601 CHILDREN'S LANE, NORFOLK, VA 23507
(757) 668-7275
(757) 668-9175
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0101051597
VA
207ZP0213X
Pediatric Pathology Physician
Primary
0101051597
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000980801
—
DE
05
—
0017103130001
—
PA
05
—
006603378
—
VA
05
—
149601800
—
MD
05
—
2002484000
—
WV
05
—
890640Z
—
NC
Enumeration date
05/09/2006
Last updated
10/27/2023
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