Individual provider · Type 1 NPI

Fadi Paul Jacob

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

NPI number 1306202122 Active

Practice location

600 North Wolfe Street
Baltimore, MD 21287-2109

Call (410) 955-5000 Map

Mailing address

733 Rutland Avenue
Baltimore, MD 21205-2109

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X055347519 (GA)

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 1306202122

Fadi Paul Jacob's National Provider Identifier is 1306202122, issued on Jan 8, 2016. 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 Jan 8, 2016.