SOPHIAMMA A JACOB

OLD BRIDGE, NJ
NPI1326437856
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ  26NJ00527100)
Enumeration Date2015-01-21
Last Update Date2015-01-21
Business Address
Mrs. SOPHIAMMA A JACOB NP
26 THROCKMORTON LN
OLD BRIDGE, NJ 08857-2520
Phone number: 732-679-9950
Mailing Address
Mrs. SOPHIAMMA A JACOB NP
20 GOSHAWK CT
MORGANVILLE, NJ 07751-1073
Phone number: 732-591-2255
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