Individual
SHARON B. JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
370 GRAND AVE, SUITE 202, ENGLEWOOD, NJ 07631-4154
(201) 894-9599
(201) 894-9192
Mailing address
370 GRAND AVE, SUITE 202, ENGLEWOOD, NJ 07631-4154
(201) 894-9599
(201) 894-9192
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00039900
NJ
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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