Individual
MARIANNE JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
25MB11494800
NJ
2080P0205X
Pediatric Endocrinology Physician
Primary
297526
NY
Other
Enumeration date
08/15/2017
Last updated
10/06/2022
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