Individual
DR. NINA STELLA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 DAVIS AVE FL 7, NEPTUNE, NJ 07753-4488
(732) 776-3797
(732) 776-3796
Mailing address
19 DAVIS AVE FL 7, NEPTUNE, NJ 07753-4488
(732) 776-3797
(732) 776-3796
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA09482800
NJ
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
25MA09482800
NJ
Other
Enumeration date
07/19/2011
Last updated
11/30/2018
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