Individual
MR. HARVEY RICHARD JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
25 CLYDE ROAD, SUITE 101, SOMERSET, NJ 08873-5038
(732) 873-1111
(732) 873-1113
Mailing address
25 CLYDE ROAD, SUITE 101, SOMERSET, NJ 08873-5038
(732) 873-1111
(732) 873-1113
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00105100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1240307
—
NJ
Enumeration date
07/28/2006
Last updated
12/17/2008
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