Individual
DR. LISA M. JACOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
230 W JERSEY ST, MEDICAL ARTS BUILDING, SUITE 209, C/O DR. W. SILVERMAN, ELIZABETH, NJ 07202-1364
(908) 229-1345
(908) 353-1888
Mailing address
230 W JERSEY ST, MEDICAL ARTS BUILDING, SUITE 209, C/O DR. W. SILVERMAN, ELIZABETH, NJ 07202-1364
(908) 229-1345
(908) 353-1888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI01983007
NJ
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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