Individual
STEPHANIE JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 2ND ST UNIT 1, HOBOKEN, NJ 07030-7789
(201) 420-0644
Mailing address
201 RAILROAD AVE APT 205, EAST RUTHERFORD, NJ 07073-1945
(201) 724-3129
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00733700
NJ
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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