Individual
DR. JOSEPH S JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
23 W PROSPECT ST, EAST BRUNSWICK, NJ 08816-2116
(732) 651-6262
Mailing address
124 WEBER AVE, SAYREVILLE, NJ 08872-1075
(732) 613-0357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D102335900
NJ
Other
Enumeration date
07/27/2007
Last updated
08/07/2007
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