Jacobs, Abbie

Jacobs, Abbie is an individual health care provider with primary practice located at 122 Clinton St , Hoboken NJ 07030-2502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jacobs, Abbie can be contacted via phone (201) 418-3100.

Contact Information

Primary practice address
122 Clinton St Hoboken NJ 07030-2502
Phone: (201) 418-3100
Fax: (201) 418-3148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA05803000 New Jersey

Profile Details

NPI number 1811042575
LBN Legal business name Jacobs, Abbie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jan 24th, 2011 - about 13 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 1811042575 NPPES
New Jersey MEDICAID 5616409

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