Individual
JACQUELIN HOLUBKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 993-9536
Mailing address
PO BOX 303, MOUNT FREEDOM, NJ 07970-0303
(973) 993-9536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06300800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6887503
—
NJ
Enumeration date
05/20/2006
Last updated
09/17/2008
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