Maud Jacob
Surgery in Brooklyn, NY. Individual provider (NPI-1).
NPI number1891168340
StatusActive
Last updated in NPPESNov 5, 2015
Details
- NPI
- 1891168340
- Entity type
- Individual (NPI-1)
- Name
- Maud Jacob
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2015
- Last updated
- Nov 5, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | P99938 | NY | Yes |
Practice location
374 Stockholm StBrooklyn, NY 11237-4006
Phone 410-940-1529
Mailing address
13020 116th AveJamaica, NY 11420-2622
Phone 410-940-1529
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