Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARVEN WALLEN & S. KENNETH JACOBSON, MD PA
Active OrganizationMARVEN WALLEN & S. KENNETH JACOBSON, MD PA is a General Practice organization located in MAPLEWOOD, New Jersey. NPI 1053507566 is currently active in the NPPES registry. Verify at CMS.
General Practice · MAPLEWOOD, NJ
Registration Details
- NPI Number
- 1053507566
- Provider Type
- Organization
- NPI Issued
- Sep 18, 2007 (18.913334358224 yrs)
- Last Updated
- Jun 19, 2008
Practice Information
- Address
-
1985 SPRINGFIELD AVEMAPLEWOOD, NJ, 070403435Browse NJ providers · Browse ZIP 07040
- Phone
- 9737635010
- Fax
- 9737616980
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.