Individual
ABBIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
122 CLINTON ST, HOBOKEN, NJ 07030-2502
(201) 418-3100
(201) 418-3148
Mailing address
122 CLINTON ST, HOBOKEN, NJ 07030-2502
(201) 418-3125
(201) 418-3148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05803000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5616409
—
NJ
Enumeration date
01/24/2007
Last updated
01/24/2011
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