Individual
IRA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 MEEKER CT, ROSELAND, NJ 07068-3789
(609) 513-5169
Mailing address
44 MEEKER CT, ROSELAND, NJ 07068-3789
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA06677800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003883
—
NJ
Enumeration date
07/03/2006
Last updated
07/08/2007
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