MARIANNE JACOB

WEST ORANGE, NJ
NPI1215453857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: NY  297526)
Additional Taxonomies2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: NJ  25MB11494800)
Enumeration Date2017-08-15
Last Update Date2022-10-06
Business Address
MARIANNE JACOB
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052-2750
Phone number: 973-322-6900
Mailing Address
MARIANNE JACOB
48 SYCAMORE LN
ROSLYN HEIGHTS, NY 11577-2522
Phone number: