Brian Jacob MD

NPI 1023084779 - Surgery - 208600000X

NPI Details
NPI 1023084779
Gender Male
Enumeration Date 02/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1010 5TH AVE
LAPAROSCOPIC SURGICAL CENTER
NEW YORK NY, 10028-0130, US
Phone (212) 879-6677
Fax (212) 650-9981
Business Location
1010 5TH AVE
LAPAROSCOPIC SURGERY CENTER
NEW YORK NY, 10028-0130, US
Phone (212) 879-6677
Fax (212) 650-9981
Toxanomy
Taxonomy Code 208600000X
License State New York
License Number 219514
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According to our database, Brian Jacob MD NPI is 1023084779, taxonomy code is 208600000X and license number is 219514, license state is located at New York. Brian Jacob MD physically located at 1010 5th Ave, New York NY, 10028-0130. NPI Number Brian Jacob MD has the Individual type.

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1023084779 NPI number is provided on an as is basis without warranty of any kind. 1023084779 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Jacob MD are for informational purposes only.