Mark Jacobs
Gastroenterologist
1010 West Chester Pike Suite #202
Havertown
, Pennsylvania 19083-3442
Mark Jacobs
Gastroenterologist
1010 West Chester Pike Suite #202
Havertown
, Pennsylvania 19083-3442
(610) 789-3591
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Mark Jacobs
- 1010 West Chester Pike Suite #202
- Havertown, PA
- Zip : 19083-3442
- Fax : (610) 789-3591
- Phone : (610) 789-3510
Second Address
- Mark Jacobs
- 1010 West Chester Pike Suite #202
- Havertown, PA
- Zip : 19083-3442
- Fax : (610) 789-3591
- Phone : (610) 789-3510
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | MD020668E | PA |
National Provider Identifier
| NPI | 1013943885 |
|---|---|
| Provider Name | Mark Jacobs |
| First Address | Havertown, PA 19083-3442 |
| Second Address | Havertown, PA 19083-3442 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2006 |
| Last Update Date | 20/02/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 078331502 | (05) | PA |
| C27979 | (02) |
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.