Cosmo Gordon Jacobs in Baltimore - Internal Medicine

Cosmo Gordon Jacobs - NPI 1093798639

Cosmo Gordon Jacobs is a Internal Medicine in Baltimore, Maryland. Cosmo Gordon Jacobs practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Cosmo Gordon Jacobs is 1093798639. The last update date is 2010-10-04.

Cosmo Gordon Jacobs's current location address is 4001 Liberty Heights Ave, Baltimore, Maryland. You can contact this provider via phone number 4105781100 and fax number 4105780596. The mailing address for Cosmo Gordon Jacobs is 4001 Liberty Heights Ave, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Cosmo Gordon Jacobs
Address 4001 Liberty Heights Ave, Baltimore, Maryland
Phone Number 4105781100
Fax Number 4105780596
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1093798639
Provider Enumeration Date 2005-11-29
Last Updated Date 2010-10-04

Provider Mailing Address Detail

Address 4001 Liberty Heights Ave
City Baltimore
State Maryland (MD)
Post Code 212077545
Phone Number 4105781100
Fax Number 4105780596

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No D21328
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
791251000 MD --

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FAQs about Cosmo Gordon Jacobs

What is the unique identifier code issued to Cosmo Gordon Jacobs by the Centers for Medicare & Medicaid Services?

The Cosmo Gordon Jacobs has been assigned the NPI (National Provider Identifier) 1093798639. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Cosmo Gordon Jacobs?

The Cosmo Gordon Jacobs is physically situated at 4001 Liberty Heights Ave, in the city of Baltimore, state of MD, with the postal code 212077545.

What is Cosmo Gordon Jacobs's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Cosmo Gordon Jacobs's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1093798639 to Cosmo Gordon Jacobs?

The Centers for Medicare & Medicaid Services assigned the 1093798639 to Cosmo Gordon Jacobs on 2005-11-29.

As of what date were the details pertaining to Cosmo Gordon Jacobs last refreshed?

The information related to the Cosmo Gordon Jacobs, including its address, specialty, and other relevant details, was last updated on 2010-10-04.

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