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NPI Code Detail

MEDICARE: ELIEZA KATZMAN-JACOBSON

MEDICARE: ELIEZA KATZMAN-JACOBSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianPA

General Provider Information

NPI Number : 1912854308
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIEZA KATZMAN-JACOBSON
Provider Business Mailing Address
First Line : 100 N 3RD ST APT 3A
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19106-1809
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1241 N FRONT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19122-4743
Country : US
Telephone Number : 267-807-0550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ ELIEZA KATZMAN-JACOBSON ” Practice Location

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