Organization
EMAD JACOB, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMAD JACOB MD (PHYSICIAN)
(201) 772-5211
Entity
Organization
Contact information
Practice address
714 KEARNY AVE, KEARNY, NJ 07032-3006
(201) 772-5211
(201) 428-1627
Mailing address
714 KEARNY AVE, KEARNY, NJ 07032-3006
(201) 772-5211
(201) 428-1627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08462300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179141
—
NJ
Enumeration date
11/23/2009
Last updated
01/24/2012
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