Search › Pennsylvania › 103T00000X
Charles Jacob, PH.D
NPI 1063600195 · on the registry since 2007 · sole proprietor
Practice
- Address
- 33 Sycamore Rd
Havertown, PA 19083 - Phone
- (412) 596-3870
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania