Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELLIS JACOBS, PHD
Active Sole ProprietorLaboratory Management Specialist (Diplomat) · TEANECK, NJ
Registration Details
- NPI Number
- 1720256910
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2008 (18.193804560225 yrs)
- Last Updated
- Jul 1, 2013
- License
-
JACOE1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
540 WYNDHAM RDTEANECK, NJ, 076662612Browse NJ providers · Browse ZIP 07666
- Phone
- 2018361518
- Fax
- 2123184699
- Primary Specialty
-
Laboratory Management Specialist (Diplomat)
246QL0901X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.