Individual provider · Type 1 NPI

Robert Lionel Jack, MD

Specialist · Menlo Park, CA

NPI number 1376601443 Active

Practice location

1225 Crane St
Menlo Park, CA 94025-4257

Call (650) 323-0231 Map

Fax (650) 565-8297

Mailing address

2452 Watson Ct
Palo Alto, CA 94303-3216

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG17236 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376601443

Robert Lionel Jack, MD's National Provider Identifier is 1376601443, issued on Dec 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Menlo Park, CA. The record was last updated on Jan 3, 2012.