Individual
NABIL JACIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(973) 522-3523
(973) 522-3525
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(973) 971-7187
(973) 290-8320
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
25MA06571800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8113602
—
NJ
Enumeration date
02/03/2006
Last updated
08/01/2011
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