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Individual

DR. ELLIS JACOBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
540 WYNDHAM RD, TEANECK, NJ 07666-2612
(201) 836-1518
(212) 318-4699
Mailing address
540 WYNDHAM RD, TEANECK, NJ 07666-2612
(201) 836-1518
(212) 318-4699

Taxonomy

Speciality
Code
Description
License number
State
246QL0901X
Diplomate Laboratory Management Specialist/Technologist
Primary
JACOE1
NY

Other

Enumeration date
02/11/2008
Last updated
07/01/2013
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