Individual provider · Type 1 NPI
Mack D. Jacobs, D.P.M.
Primary Podiatric Medicine Podiatrist · Denville, NJ
NPI number
1386795870
Active
Practice location
16 Pocono Rd, Suite 115
Denville, NJ 07834-2901
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | MD 1085 (NJ) |
Primary Podiatric Medicine Podiatrist: Definition to come...
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About NPI 1386795870
Mack D. Jacobs, D.P.M.'s National Provider Identifier is 1386795870, issued on Jan 13, 2007. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Denville, NJ. The record was last updated on Jul 9, 2007.