Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Menzer

Individual provider Surgery Physician · NPI 1679314983

Jacob Menzer is a Surgery Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2024.

Licensed in
PA
In the registry since
2024

Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5103
Phone: (800) 836-7536
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MT232220 (PA)

Record details

NPI number1679314983
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024

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