Individual
EARL F JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
222 OAK AVE, TOMS RIVER, NJ 08753-3348
(732) 914-1919
(732) 341-3303
Mailing address
222 OAK AVE, TOMS RIVER, NJ 08753-3348
(732) 914-1919
(732) 341-3303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB04461200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010045046NJ01
ST BARNABAS HEALTH
NJ
01
—
0159635000
AMERIHEALTH NJ
NJ
05
—
0176109
—
NJ
01
—
429240
AMERIHEALTH ADMIN
NJ
01
—
5944918
CIGNA COMED
NJ
01
—
5944918004
CIGNA HMO
NJ
01
—
F02902
HEALTH NET PHS
NJ
01
—
VP016
OXFORD
NJ
Enumeration date
06/19/2006
Last updated
07/08/2007
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