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Dr. Rudolph Daniel Jacob, MD
Specialist in Metairie, Louisiana
NPI 1760452270

Rudolph Daniel Jacob is a Specialist based in Metairie, LA. Rudolph Daniel Jacob practices in Metairie, LA and has the professional credentials of MD. The NPI Number for Rudolph Daniel Jacob is 1760452270 and holds a License No. 012606 (Louisiana).

The current practice location address for Rudolph Daniel Jacob is 4228 Houma Blvd, Metairie, LA and can be reached out via phone at 504-454-3611 and via fax at 504-888-9452. You can also correspond with Rudolph Daniel Jacob through the mailing address at 4228 HOUMA BLVD, METAIRIE, LA - 70006-3000 (mailing address contact number: 504-454-3611).

Location: 4228 Houma Blvd, Metairie, LA, 70006-3000
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Provider Profile Details
NPI Number
1760452270
Provider Name
Rudolph Daniel Jacob
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4228 Houma Blvd, Metairie, LA, 70006-3000
Phone Number
504-454-3611
Fax Number
504-888-9452
Provider Enumeration Date
01/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1347159 05 LA
institution
Provider Business Practice Location Address Details
Address
4228 Houma Blvd
City
State
Zip
70006-3000
Phone Number
504-454-3611
Fax Number
504-888-9452
person
Provider Business Mailing Address Details
Address
4228 Houma Blvd
City
State
Zip
70006-3000
Phone Number
504-454-3611
Fax Number
504-888-9452
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
012606 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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