Individual
ARIEL ISAIAH JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
415 RUTHERFORD BLVD, CLIFTON, NJ 07014-1238
(516) 282-4737
Mailing address
415 RUTHERFORD BLVD, CLIFTON, NJ 07014-1238
(516) 282-4737
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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