Jisha Rachel Jacob

NPI #1437513363 in Newark, New Jersey

Provider Information

NPI Number: 1437513363
Entity Type: Individual
Name: Jisha Rachel Jacob
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: Apr 6, 2016
Last Updated: Aug 9, 2025

Practice Location

Address: 166 LYONS AVE FL 1
City: Newark
State: New Jersey
ZIP Code: 07112-2016
Phone: (973) 926-7428

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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