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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEASIA DOMINIQUE JACOB, MD

Active

DEASIA DOMINIQUE JACOB, MD is a Plastic and Reconstructive Surgery healthcare provider located in FREDERICK, Maryland. NPI 1619339728 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · FREDERICK, MD

Registration Details

NPI Number
1619339728
Provider Type
Individual
Gender
Female
NPI Issued
Mar 28, 2016 (10.391833246534 yrs)
Last Updated
Jun 17, 2025
Licenses
D93654 (MD)
D93654 (MD)
D0093827 (MD)

Practice Information

Address
501 W 7TH ST
FREDERICK, MD, 217014586
Browse MD providers · Browse ZIP 21701
Phone
2402156310
Fax
2404398910
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X
Additional Specialty
Surgery of the Hand (Plastic)

Other Plastic and Reconstructive Surgery Providers in FREDERICK, MD

Name Credential NPI
SCOTT E ANDOCHICK M.D. 1083616601
DR. JAMES STEPHEN ALBERTOLI MD 1780686337
ADAM MITCHELL MECINSKI MD 1396747945
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.