R. Daniel Jacob, M.D.,a.P.M.C.
Otolaryngology Physician in Metairie, LA(View on Map)
Legal Business Name
R. Daniel Jacob, M.D.,a.P.M.C.
NPI Number
1063661718
NPI Type
Organization
Enumeration Date
09/17/2008
Specialties
(Taxonomies)Name
Code
207Y00000X
207YS0123X
207YX0602X
207YX0905X
207YX0901X
207YP0228X
207YX0007X
207YS0012X
Primary Taxonomy
Yes
No
No
No
No
No
No
No
Licenses
State
Louisiana
License Number
MD.012606
Contact
Information
Purpose
Mailing
Location
Address
351 VINCENT AVE
4228 HOUMA BLVD
City
Metairie
Metairie
State
LA
LA
Postal Code
70005-4419
70006-3000
Country
US
US
Telephone Number
(504) 454-3611
(504) 454-3611
Authorized Official
Name
Rudolph Jacob
Title or Position
PRESIDENT
Telephone Number
(504) 454-3611
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/27/2009
Provider Address
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