Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | MD474022 | PA |
NPI | 1326433582 |
---|---|
Provider Name | Dr. Christopher Jakubowski |
First Address | Mechanicsburg, PA 17050-9422 |
Second Address | Mechanicsburg, PA 17050-9422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2015 |
Last Update Date | 23/07/2021 |