Individual
JOYCE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
99 BEAUVOIR AVE, THE CANCER CENTER AT OVERLOOK HOSPITAL, SUMMIT, NJ 07901-3533
(908) 608-0078
Mailing address
77 BRANT AVE, SUITE 200, CLARK, NJ 07066-1560
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00035800
NJ
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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