Individual
DR. STEPHANIE T JACOBOVITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
140 MARKET ST, PATERSON, NJ 07505-1471
(973) 742-4200
Mailing address
98 WESTERVELT PL, PASSAIC, NJ 07055-4627
(862) 247-9706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02770700
NJ
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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