Tony Jacob, PA-C
NPI #1396096236 in Paramus, New Jersey
Provider Information
- NPI Number
- 1396096236
- Entity Type
- Individual
- Name
- Tony Jacob, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 1, 2012
- Last Updated
- Jun 3, 2016
Practice Location
- Address
- 205 HOMESTEAD RD
- City
- Paramus
- State
- New Jersey
- ZIP Code
- 07652-4709
- Phone
- (516) 587-3406
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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