Jacob, David

Jacob, David is an individual health care provider with primary practice located at 254 Easton Ave , New Brunswick NJ 08901-1766. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jacob, David can be contacted via phone (732) 745-8600.

Contact Information

Primary practice address
254 Easton Ave New Brunswick NJ 08901-1766
Phone: (732) 745-8600
Fax: (732) 729-1990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MA53662 New Jersey

Profile Details

NPI number 1063466381
LBN Legal business name Jacob, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063466381 NPPES
New Jersey MEDICAID 8573701
New Jersey Other P00153020

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