Individual provider · Type 1 NPI

Elad Jacoby, MD

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1124378617 Active

Practice location

1800 Orleans Street, The Bloomberg Children's Center, Rom 11379
Baltimore, MD 21287

Call (410) 955-8751 Map

Fax (410) 955-0028

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 1124378617

Elad Jacoby, MD's National Provider Identifier is 1124378617, issued on Sep 12, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Sep 12, 2012.