Jerry Jacob in Philadelphia - Internal Medicine

Jerry Jacob - NPI 1902068273

Jerry Jacob is a Internal Medicine in Philadelphia, Pennsylvania. Jerry Jacob practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jerry Jacob is 1902068273. The last update date is 2017-12-06.

Jerry Jacob's current location address is 3400 Spruce St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156624000. The mailing address for Jerry Jacob is 3400 Spruce St, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Jacob
Address 3400 Spruce St, Philadelphia, Pennsylvania
Phone Number 2156624000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1902068273
Provider Enumeration Date 2008-06-27
Last Updated Date 2017-12-06

Provider Mailing Address Detail

Address 3400 Spruce St
City Philadelphia
State Pennsylvania (PA)
Post Code 191044206
Phone Number 2156624000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD442424
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

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FAQs about Jerry Jacob

What is the unique 10-digit identifier code assigned to Jerry Jacob by the Centers for Medicare & Medicaid Services?

The Jerry Jacob has been issued the NPI (National Provider Identifier) 1902068273 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jerry Jacob?

The Jerry Jacob is physically situated at 3400 Spruce St, in the city of Philadelphia, state of PA, with the postal code 191044206.

What is the Jerry Jacob's area of specialization and corresponding taxonomy classification?

The Jerry Jacob's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1902068273 assigned to Jerry Jacob?

The Jerry Jacob was issued its 1902068273 on 2008-06-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Jerry Jacob, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jerry Jacob, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-12-06.

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