Individual
DOUGLAS JACOBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
50 DIVISION ST STE 301, SOMERVILLE, NJ 08876-2943
(908) 725-5585
Mailing address
50 DIVISION ST STE 301, SOMERVILLE, NJ 08876-2943
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02641300
NJ
Other
Enumeration date
03/30/2015
Last updated
05/04/2021
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