Jacobson, Barry J

Jacobson, Barry J is an individual health care provider with primary practice located at 2100 Keystone Ave Suite 707, Drexel Hill PA 19026-1129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jacobson, Barry J can be contacted via phone (610) 626-7070.

Contact Information

Primary practice address
2100 Keystone Ave Suite 707 Drexel Hill PA 19026-1129
Phone: (610) 626-7070
Fax: (610) 626-9887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD025330E Pennsylvania

Profile Details

NPI number 1275679250
LBN Legal business name Jacobson, Barry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Mar 18th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275679250 NPPES
Pennsylvania MEDICAID 0008055200

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