Individual
DR. STUART JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
319 W BROAD ST, BURLINGTON, NJ 08016-1343
(609) 386-0217
(609) 386-2205
Mailing address
319 W BROAD ST, BURLINGTON, NJ 08016-1343
(609) 386-0217
(609) 386-2205
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00189200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000781126001
UNITED HEALTHCARE
NJ
01
—
0099360000
AMERIHEALTH
NJ
01
—
0099360000
INDEPENDENCE BLUE CROSS PERSONAL CHOICE
—
01
—
0183361
AETNA
NJ
01
—
223483019
PALMETTO RAILROAD MEDICAR
NJ
01
—
223483019
INDEPENDENCE BLUE
—
01
—
4146690001
DME REGION A
NJ
01
—
6111499
CIGNA
NJ
05
—
6324401
—
NJ
01
—
BNS146
OXFORD
NJ
01
—
J013907
TRICARE
NJ
Enumeration date
09/30/2005
Last updated
11/23/2009
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