MICKY JACOB

EDISON, NJ
NPI1568154748
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NJ  26NJ14848700)
Enumeration Date2023-05-24
Last Update Date2023-05-24
Business Address
MICKY JACOB DNP
65 JAMES ST
EDISON, NJ 08820-3903
Phone number: 732-321-7000
Mailing Address
MICKY JACOB DNP
65 JAMES ST
EDISON, NJ 08820-3903
Phone number: 732-321-7000
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