Organization
HARVEY R. JACOBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARVEY RICHARD JACOBS D.P.M. (OWNER)
(732) 873-1111
Entity
Organization
Contact information
Practice address
25 CLYDE RD, SUITE 101, SOMERSET, NJ 08873-5038
(732) 873-1111
Mailing address
25 CLYDE RD, SUITE 101, SOMERSET, NJ 08873-5038
(732) 873-1111
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MD00105100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1240307
—
NJ
Enumeration date
04/21/2008
Last updated
01/16/2009
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