Individual
GAIL A JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4924 CAMPBELL BLVD, NOTTINGHAM, MD 21236-5908
(443) 442-2300
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0095933
MD
208000000X
Pediatrics Physician
MD19367
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074880
—
OR
Enumeration date
05/24/2006
Last updated
06/02/2025
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