Organization
PERSONAL IMAGE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY L JACOBS D.O., FACOS (PRESIDENT)
(201) 969-9900
Entity
Organization
Contact information
Practice address
680 KINDERKAMACK RD, SUITE 205, ORADELL, NJ 07649-1600
(201) 969-9900
Mailing address
PO BOX 98, HILLSDALE, NJ 07642-0098
(201) 969-9900
Taxonomy
Speciality
Code
Description
License number
State
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
25MB06930400
NJ
Other
Enumeration date
06/28/2007
Last updated
02/25/2015
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