Individual
DR. THOMAS GERHARD JACOBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
133B SOUTH MAIN STREET, MILLTOWN, NJ 08850
(732) 545-9009
(732) 545-9193
Mailing address
50 LEXINGTON AVENUE, #120, NEW YORK, NY 10010
(212) 665-3452
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
044088
NY
122300000X
Dentist
Primary
D18148
NJ
1223G0001X
General Practice Dentistry
0440881
NY
Other
Enumeration date
02/19/2007
Last updated
08/03/2009
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