Individual
NICHOLAS ROSS JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
5 BECKER FARM RD STE 101, ROSELAND, NJ 07068-1727
(862) 881-4139
Mailing address
5 BECKER FARM RD STE 101, ROSELAND, NJ 07068-1727
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
22DI02855500
NJ
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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