| Thomas N Jacob Md Pc | |
|
1635 N George Mason Dr Ste 240 Arlington VA 22205-3601 | |
| (703) 522-8294 | |
| (703) 522-4915 |
| Full Name | Thomas N Jacob Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1635 N George Mason Dr, Arlington, Virginia |
| Authorized Official Name and Position | Thomas Jacob (OWNER) |
| Authorized Official Contact | 7035228294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas N Jacob Md Pc 1635 N George Mason Dr Ste 240 Arlington VA 22205-3601 Ph: (703) 522-8294 | Thomas N Jacob Md Pc 1635 N George Mason Dr Ste 240 Arlington VA 22205-3601 Ph: (703) 522-8294 |
| NPI Number | 1689127797 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 07/26/2016 |
| Medicare PECOS PAC ID | 5496048407 |
|---|---|
| Medicare Enrollment ID | O20160728002031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689127797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 101029299 (Virginia) | Primary |
| Provider Name | Thomas N Jacob |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356425961 PECOS PAC ID: 9830481118 Enrollment ID: I20160706002359 |
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