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Individual

DR. EMMANUEL EGIPTO JACOB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
39 SOUTH RIVER STREET, PLAINS, PA 18705
(570) 822-9514
(570) 823-8039
Mailing address
39 SOUTH RIVER STREET, PLAINS, PA 18705
(570) 822-9514
(570) 823-8039

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AK000322L
PA
174400000X
Specialist
Primary
MD026644E
PA

Other

Enumeration date
10/02/2006
Last updated
12/17/2010
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