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Individual

ELI JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3735 NAZARETH RD, SUITE 206, EASTON, PA 18045-8338
(610) 252-6243
(610) 252-8614
Mailing address
3735 NAZARETH RD, SUITE 206, EASTON, PA 18045-8338
(610) 252-6243
(610) 252-8614

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
OS004065L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00857876
PA
Enumeration date
05/23/2006
Last updated
12/23/2010
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