Louis Robert Jacobson, MD | |
106 Main St, Sparta, NJ 07871-1912 | |
(973) 729-7400 | |
(973) 729-2201 |
Full Name | Louis Robert Jacobson |
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Gender | Male |
Speciality | Pediatrics |
Location | 106 Main St, Sparta, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376625145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 25MA07459800 (New Jersey) | Primary |
Entity Name | Private Diagnostic Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577 |
Entity Name | Duke Health Integrated Practice Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
Mailing Address | Practice Location Address |
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Louis Robert Jacobson, MD 106 Main St, Sparta, NJ 07871-1912 Ph: (973) 729-7400 | Louis Robert Jacobson, MD 106 Main St, Sparta, NJ 07871-1912 Ph: (973) 729-7400 |
Regina Bronstein, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 89 Sparta Ave, Suite 100, Sparta, NJ 07871 Phone: 973-729-2121 Fax: 973-729-3454 | |
Dr. Christian Canzoniero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 Sparta Ave Ste 207, Sparta, NJ 07871 Phone: 973-726-4455 Fax: 973-726-8445 | |
Dr. Raymond Paul Dipaolo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 328a Sparta Ave, Sparta, NJ 07871 Phone: 973-729-2197 Fax: 973-729-3653 | |
Dr. Nadira M Fernandez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 89 Sparta Ave Ste 100, Sparta, NJ 07871 Phone: 973-729-2121 Fax: 973-729-3454 | |
Rajesh C Raman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 Sparta Ave, Suite 202, Sparta, NJ 07871 Phone: 973-726-4455 Fax: 973-726-8445 | |
Dr. Denise Novaes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 328a Sparta Ave, Sparta, NJ 07871 Phone: 973-729-2197 Fax: 973-729-3653 |