Deasia Dominique Jacob, MD

NPI #1619339728 in Frederick, Maryland

Provider Information

NPI Number: 1619339728
Entity Type: Individual
Name: Deasia Dominique Jacob, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery - Plastic and Reconstructive Surgery
Credential: MD
Enumeration Date: Mar 28, 2016
Last Updated: Jun 17, 2025

Practice Location

Address: 501 W 7TH ST
City: Frederick
State: Maryland
ZIP Code: 21701-4586
Phone: (240) 215-6310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X
Plastic Surgery - Surgery of the Hand — Surgery of the Hand	2082S0105X
Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery	2086S0122X	Primary

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