person
Irwin Jacobson, DO
General Practice Physician in Phila, Pennsylvania
NPI 1215913348

Irwin Jacobson is a General Practice Physician based in Phila, PA. Irwin Jacobson practices in Phila, PA and has the professional credentials of DO. The NPI Number for Irwin Jacobson is 1215913348 and holds a License No. OS002250L (Pennsylvania).

The current practice location address for Irwin Jacobson is 4000 N 9Th St, Phila, PA and can be reached out via phone at 215-229-7800 and via fax at 215-229-3693.

Location: 4000 N 9Th St, Phila, PA, 19182-0933
person
Provider Profile Details
NPI Number
1215913348
Provider Name
Irwin Jacobson
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4000 N 9Th St, Phila, PA, 19182-0933
Phone Number
215-229-7800
Fax Number
215-229-3693
Provider Enumeration Date
12/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0019190 01 PA AETNA HMO
3Y7795 01 PA HEALTH NET
30019058 01 PA KMHP
P00264978 01 PA RR MEDICARE
000658424 05 PA
1418 01 PA BRAVO HEALTH
0058370000 01 PA INDEPENDENCE BLUE CROSS
4088577 01 PA AETNA PPO
041665 01 PA HIGHMARK BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4000 N 9Th St
City
State
Zip
19140-2209
Phone Number
215-229-7800
Fax Number
215-229-3693
person
Provider Business Mailing Address Details
Address
4000 N 9Th St
City
State
Zip
19140-2209
Phone Number
215-229-7800
Fax Number
215-229-3693
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
OS002250L (Pennsylvania)
Definition
Definition to come...
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