Individual
IVAN H JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
592 SPRINGFIELD AVE, WESTFIELD, NJ 07090-1002
(908) 789-8999
(908) 789-1379
Mailing address
592 SPRINGFIELD AVE, WESTFIELD, NJ 07090-1002
(908) 789-8999
(908) 789-1379
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA32702
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1817001
—
NJ
Enumeration date
10/05/2006
Last updated
07/08/2007
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