BENJAMIN JOHNSON JACOBS

VIRGINIA BEACH, VA
NPI1689137788
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: VA  0101270564)
Enumeration Date2019-04-08
Last Update Date2021-09-30
Business Address
Dr. BENJAMIN JOHNSON JACOBS MD
1875 COVE RD
VIRGINIA BEACH, VA 23459-8911
Phone number: 757-763-2060
Mailing Address
Dr. BENJAMIN JOHNSON JACOBS MD
2000 TRIDENT WAY
SAN DIEGO, CA 92155-5599
Phone number: 619-407-0214
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