Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLEN C JACOB, M.D.
ActiveGLEN C JACOB, M.D. is a Surgery of the Hand healthcare provider located in WHITEHALL, Pennsylvania. NPI 1295990976 is currently active in the NPPES registry. Verify at CMS.
Surgery of the Hand · WHITEHALL, PA
Registration Details
- NPI Number
- 1295990976
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2008 (18.097464792876 yrs)
- Last Updated
- Feb 27, 2026
- Licenses
-
25MA08617700 (NJ)24108 (WV)MD452555 (PA)N0127 (TX)MD452555V (PA)
Practice Information
- Address
-
2363 MACARTHUR RDWHITEHALL, PA, 180524523Browse PA providers · Browse ZIP 18052
- Phone
- 5708081093
- Fax
- 5708087878
- Primary Specialty
-
Surgery of the Hand
2086S0105X
- Additional Specialty
- Surgery of the Hand
- Additional Specialty
- General Surgery
- Additional Specialty
- General Surgery
- Additional Specialty
- Surgery of the Hand
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.