Individual
DR. MARIAMMA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2057
(718) 245-3638
Mailing address
2 KATHARINA PL, TOWNSHIP OF WASHINGTON, NJ 07676-4125
(201) 447-6609
(201) 447-6609
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
191017
NY
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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