ANSU JACOB

PHILADELPHIA, PA
NPI1679994529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2013-12-19
Last Update Date2013-12-19
Business Address
Ms. ANSU JACOB
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130-2908
Phone number: 215-235-9600
Mailing Address
Ms. ANSU JACOB
766 SELMER RD
PHILADELPHIA, PA 19116-3632
Phone number: 267-393-3496
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