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Charles Jacob

NPI 1366309460 · on the registry since 2026 · sole proprietor

Practice

Address
7026 Corner Creek Way
Glenn Dale, MD 20769
Phone
(240) 779-6806

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2026-01-08

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 Maryland