Individual
DR. JACOB ROBERT STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(724) 316-0580
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-0003
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT233719
PA
Other
Enumeration date
03/05/2024
Last updated
05/26/2025
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