Individual
DAVID JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
(732) 729-1990
Mailing address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
(732) 745-2980
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA53662
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8573701
—
NJ
01
—
P00153020
RAILROAD MEDICARE
NJ
Enumeration date
05/20/2006
Last updated
03/14/2012
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