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Glen Jacob, MD
NPI 1780757062 · on the registry since 2006
Practice
- Address
- 1221 Mercantile Lane
Largo, MD 20774 - Phone
- (301) 618-5578
- Fax
- (301) 618-5673
- Organisation at this address
- Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Kaiser Foundation Health Plan Of The Mid Atlantic States, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Also registered as
- Internal Medicine Physician
Internal Medicine Physician
Geriatric Medicine (Internal Medicine) Physician - Licence states on file
- DC, NM, MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-23
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