Individual
MITCHELL JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 FLORAL VALE BLVD STE 125, YARDLEY, PA 19067-5583
(267) 759-6300
Mailing address
1000 FLORAL VALE BLVD STE 125, YARDLEY, PA 19067-5583
(267) 759-6300
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD457089
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2012
Last updated
03/17/2018
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