JENNIFER SUSAN JACOB

PHILADELPHIA, PA
NPI1174105779
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA062473)
Enumeration Date2021-04-22
Last Update Date2021-04-22
Business Address
JENNIFER SUSAN JACOB PA-C
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-3807
Mailing Address
JENNIFER SUSAN JACOB PA-C
8036 264TH ST
FLORAL PARK, NY 11004-1523
Phone number: 347-982-5751
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