Individual
CARA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8991
Mailing address
127 MONTGOMERY ST, JERSEY CITY, NJ 07302-3616
(201) 431-7200
(201) 526-0474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00337200
NJ
363AM0700X
Medical Physician Assistant
Primary
25MP00337200
NJ
Other
Enumeration date
07/27/2014
Last updated
12/03/2021
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