Individual
DR. JEANNE JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CEDAR CREST & I-78, ALLENTOWN, PA 18105
(610) 402-8130
(610) 402-7160
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD417149
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018872250005
—
PA
05
—
0018872250007
—
PA
01
—
930125852
RR MEDICARE
PA
01
—
JA1369121
BLUE SHIELD
PA
Enumeration date
02/15/2006
Last updated
08/27/2013
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