Dr. Richard Marc Jacobs
Foot & Ankle Surgery Primary Podiatric Medicine
4511 Knox Rd Suite 103
College Park
, Maryland 20740-3380
Dr. Richard Marc Jacobs
Foot & Ankle Surgery Primary Podiatric Medicine
4511 Knox Rd Suite 103
College Park
, Maryland 20740-3380
(301) 927-7036
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About
Features
Specialties
- Primary Podiatric Medicine
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Richard Marc Jacobs
- 4511 Knox Rd Suite 103
- College Park, MD
- Zip : 20740-3380
- Fax : (301) 927-7036
- Phone : (301) 779-0355
Second Address
- Dr. Richard Marc Jacobs
- 4511 Knox Rd Suite 103
- College Park, MD
- Zip : 20740-3380
- Fax : (301) 927-7036
- Phone : (301) 779-0355
Reviews
FAQs
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Is Dr. Richard Marc Jacobs a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 952 | MD |
| N | 213ES0103X | Foot & Ankle Surgery | 952 | MD |
National Provider Identifier
| NPI | 1114955564 |
|---|---|
| Provider Name | Dr. Richard Marc Jacobs |
| First Address | College Park, MD 20740-3380 |
| Second Address | College Park, MD 20740-3380 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2006 |
| Last Update Date | 07/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 32211001 | BC (01) | |
| 39201 | MAMSI (01) | |
| T31049 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.