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NPI Profile for Dr ELLIS JACOBS in TEANECK, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Laboratory Management, Diplomate |
246QL0901X |
| NPI # | 1720256910 |
|
| Status | Active | |
| Credentials | PHD | |
| Entity | Individual | |
| Enumeration date | 02/11/2008 | |
| Last updated | 07/01/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ELLIS JACOBS
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ELLIS JACOBS, PHD