Organization
SPARTA PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS JACOBSON M.D. (OWNER/PARTNER)
(973) 729-7400
Entity
Organization
Contact information
Practice address
106 MAIN ST, SPARTA, NJ 07871-1912
(973) 729-7400
(973) 729-2201
Mailing address
106 MAIN ST, SPARTA, NJ 07871-1912
(973) 729-7400
(973) 729-2201
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA07459800
NJ
Other
Enumeration date
09/20/2009
Last updated
09/20/2009
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