Individual
MAUD JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(410) 940-1529
Mailing address
13020 116TH AVE, JAMAICA, NY 11420-2622
(410) 940-1529
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
P99938
NY
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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