Individual
DR. CIMY SUSAN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UPMC CHILDRENS SPECIALIST- NEUROLOGY, 3 WALNUT STREET, SUITE 205, LEMOYNE, PA 17043-1168
(717) 988-0090
(717) 221-5320
Mailing address
UPMC CHILDRENS SPECIALIST- NEUROLOGY, 3 WALNUT STREET, SUITE 205, LEMOYNE, PA 17043-1168
(717) 988-0090
(717) 221-5320
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
C1-0010960
DE
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD475318
PA
Other
Enumeration date
06/25/2011
Last updated
10/13/2021
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