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1306667423
ANSHU JACOB
PHILADELPHIA, PA
NPI
1306667423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA066100)
Enumeration Date
2024-10-21
Last Update Date
2024-10-21
Business Address
ANSHU JACOB PA-C
51 N 39TH ST
PHILADELPHIA, PA 19104-2640
Phone number: 215-662-8000
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Mailing Address
ANSHU JACOB PA-C
1180 CEDAR CREEK DR
LAKE ZURICH, IL 60047-1833
Phone number: 224-425-2615
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