Individual
DR. FRED MARTIN JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD JD
Contact information
Practice address
95 OLD SHORT HILLS RD, SAINT BARNABAS HEALTH CARE SYSTEM, WEST ORANGE, NJ 07052
(973) 322-4011
(973) 322-4074
Mailing address
95 OLD SHORT HILLS RD, SAINT BARNABAS HEALTH CARE SYSTEM, WEST ORANGE, NJ 07052
(973) 322-4011
(973) 322-4074
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA02025900
NJ
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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