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Jacob Tatum
NPI 1528590916 · on the registry since 2017
Practice
- Address
- 720 Rutland Ave # Ross759
Baltimore, MD 21205 - Phone
- (443) 287-6944
Additional practice sites
- 825 Fairfax Ave, Norfolk, VA
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-19
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