| Doctor Name: | IRWIN JACOBSON |
| NPI Number: | 1215913348 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | OS002250L |
| Business Practice Address: | 4000 N 9th St Phila, PA - 191402209 |
| Business Phone Number: | 2152297800 |
| Business Fax Number: | 2152293693 |
| Mailing Address: | Po Box 820933, PHILA |
| State: | PA |
| Postal Code: | 191820933 |
| Phone Number: | 2159269010 |
| Fax Number: | 2152268286 |
| NPI Enumeration Date: | 12/20/2005 |
| NPI Last Update Date: | 07/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS002250L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |