Harvey R. Jacobs | |
25 Clyde Rd Suite 101 Somerset NJ 08873-5038 | |
(732) 873-1111 | |
Not Available |
Full Name | Harvey R. Jacobs |
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Speciality | Clinic/Center |
Location | 25 Clyde Rd, Somerset, New Jersey |
Authorized Official Name and Position | Harvey Richard Jacobs (OWNER) |
Authorized Official Contact | 7328731111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Harvey R. Jacobs 25 Clyde Rd Suite 101 Somerset NJ 08873-5038 Ph: (732) 873-1111 | Harvey R. Jacobs 25 Clyde Rd Suite 101 Somerset NJ 08873-5038 Ph: (732) 873-1111 |
NPI Number | 1669646642 |
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Provider Enumeration Date | 04/21/2008 |
Last Update Date | 01/16/2009 |
Medicare PECOS PAC ID | 9032221718 |
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Medicare Enrollment ID | O20100930005973 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669646642 | NPI | - | NPPES |
1240307 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 25MD00105100 (New Jersey) | Primary |
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