Individual provider · Type 1 NPI

Alec Michael Jacobson, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1013477165 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

427 Roosevelt Ave
Syracuse, NY 13210-3144

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013477165

Alec Michael Jacobson, MD's National Provider Identifier is 1013477165, issued on Mar 24, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 24, 2019.