institution
Marven Wallen & S. Kenneth Jacobson, Md Pa
General Practice Physician in Maplewood, New Jersey
NPI 1053507566

Marven Wallen & S. Kenneth Jacobson, Md Pa is a General Practice Physician based in Maplewood, NJ. Marven Wallen & S. Kenneth Jacobson, Md Pa practices in Maplewood, NJ. The NPI Number for Marven Wallen & S. Kenneth Jacobson, Md Pa is 1053507566 and holds a License No. (New Jersey).

The current practice location address for Marven Wallen & S. Kenneth Jacobson, Md Pa is 1985 Springfield Ave, Maplewood, NJ and can be reached out via phone at 973-763-5010 and via fax at 973-761-6980.

Location: 1985 Springfield Ave, Maplewood, NJ, 07040-3435
institution
Provider Profile Details
NPI Number
1053507566
Provider Name
Marven Wallen & S. Kenneth Jacobson, Md Pa
Credential
Provider Entity Type
Organization
Address
1985 Springfield Ave, Maplewood, NJ, 07040-3435
Phone Number
973-763-5010
Fax Number
973-761-6980
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1985 Springfield Ave
City
State
Zip
07040-3435
Phone Number
973-763-5010
Fax Number
973-761-6980
person
Provider Business Mailing Address Details
Address
1985 Springfield Ave
City
State
Zip
07040-3435
Phone Number
973-763-5010
Fax Number
973-761-6980
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
(New Jersey)
Definition
Definition to come...
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