Individual
FRED HENRY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
493 BEVERLY RANCOCAS RD, WILLINGBORO, NJ 08046-3517
(609) 543-9311
Mailing address
627 BARBADOS DR, WILLIAMSTOWN, NJ 08094-3002
(856) 278-1904
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00907900
NJ
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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