Individual
MRS. MOLLY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
30 BRACE DR, EAST HANOVER, NJ 07936-3025
(973) 781-0172
Mailing address
30 BRACE DR, EAST HANOVER, NJ 07936-3025
(973) 781-0172
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00023600
NJ
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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