Organization
ALMA JACOBSEN, O.D. FAMILY EYE CARE & CONTACT LENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALMA T JACOBSEN OD (OWNER)
(732) 821-0300
Entity
Organization
Contact information
Practice address
400 RENAISSANCE BLVD., N. BRUNSWICK, NJ 08902
(732) 821-0300
Mailing address
400 RENAISSANCE BLVD., N. BRUNSWICK, NJ 08902
(732) 821-0300
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
OA00583600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015725
—
NJ
01
—
1174648059
TYPE I MEDICARE NPI
NJ
Enumeration date
10/22/2008
Last updated
10/22/2008
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