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Contact Information

DEASIA D JACOB, MD
501 W 7TH ST
FREDERICK, MD21701-4586
 Phone: 240-215-6310
 Fax: 240-439-8910
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DEASIA D JACOB · (Female)

NPI Number 1619339728
Status Active
Credentials MD
Entity Individual
Enumeration date 03/28/2016
Last updated 06/17/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • MD License # D0093827
  • MD License # D93654
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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