Ruth M. Jacobs, Md, Llc | |
9420 Key West Ave Suite 202 Rockville MD 20850-3334 | |
(301) 315-9515 | |
Not Available |
Full Name | Ruth M. Jacobs, Md, Llc |
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Speciality | Internal Medicine |
Location | 9420 Key West Ave, Rockville, Maryland |
Authorized Official Name and Position | Ruth Marie Jacobs (OWNER) |
Authorized Official Contact | 3013159515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ruth M. Jacobs, Md, Llc 9420 Key West Ave Suite 202 Rockville MD 20850-3334 Ph: (301) 315-9515 | Ruth M. Jacobs, Md, Llc 9420 Key West Ave Suite 202 Rockville MD 20850-3334 Ph: (301) 315-9515 |
NPI Number | 1588019079 |
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Provider Enumeration Date | 05/03/2016 |
Last Update Date | 05/03/2016 |
Medicare PECOS PAC ID | 3971869819 |
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Medicare Enrollment ID | O20171109002513 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588019079 | NPI | - | NPPES |
756621200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | D29526 (Maryland) | Primary |
Provider Name | Ruth M Jacobs |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1497774913 PECOS PAC ID: 1951478338 Enrollment ID: I20081021000029 |
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