Individual
LOUIS ROBERT JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 MAIN ST, SPARTA, NJ 07871-1912
(973) 729-7400
(973) 729-2201
Mailing address
106 MAIN ST, SPARTA, NJ 07871-1912
(973) 729-7400
(973) 729-2201
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07459800
NJ
Other
Enumeration date
10/20/2006
Last updated
06/16/2010
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