Individual
DR. BENJAMIN HARRISON JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10 AMSTERDAM AVE, APT 406, NEW YORK, NY 10023-7464
(908) 591-9646
Mailing address
10 AMSTERDAM AVE, APT 406, NEW YORK, NY 10023-7464
(908) 591-9646
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
053451-1
NY
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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