Marven Wallen & S. Kenneth Jacobson, MD PA
General Practice in Maplewood, New Jersey
1053507566- Practice location
- 1985 Springfield Ave, Maplewood, NJ 07040-3435
- Phone
- 973-763-5010
- Fax
- 973-761-6980
- Last updated
- June 19, 2008
Marven Wallen & S. Kenneth Jacobson, MD PA is a healthcare organization 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. The current practice location address for Marven Wallen & S. Kenneth Jacobson, MD PA is 1985 Springfield Ave, Maplewood, NJ 07040-3435 and can be reached out via phone at 973-763-5010 and via fax at 973-761-6980.
Provider Profile Details
- NPI Number
- 1053507566
- Provider Name
- Marven Wallen & S. Kenneth Jacobson, MD PA
- Provider Entity Type
- Organization
- Address
- 1985 Springfield Ave, Maplewood, NJ 07040-3435
- Phone Number
- 973-763-5010
- Fax Number
- 973-761-6980
- Primary Taxonomy
- General Practice · 208D00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Marven H Wallen, MD · Owner/Administrator · 973-763-5010
- Provider Enumeration Date
- September 18, 2007
- Last Update Date
- June 19, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1985 Springfield Ave
Maplewood, NJ 07040-3435 - City
- Maplewood
- State
- New Jersey
- Zip
- 07040-3435
- Phone Number
- 973-763-5010
- Fax Number
- 973-761-6980
Provider Business Mailing Address Details
- Address
- 1985 Springfield Ave
Maplewood, NJ 07040-3435 - City
- Maplewood
- State
- NJ
- Zip
- 07040-3435
- Phone Number
- 973-763-5010
- Fax Number
- 973-761-6980
License Information
- License State
- NJ
- Taxonomy
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Marven Wallen & S. Kenneth Jacobson, MD PA?
The NPI number of Marven Wallen & S. Kenneth Jacobson, MD PA is 1053507566. It was assigned on September 18, 2007 and is currently active in the NPPES registry.
What is the specialty of Marven Wallen & S. Kenneth Jacobson, MD PA?
Marven Wallen & S. Kenneth Jacobson, MD PA is registered under the primary taxonomy General Practice (code 208D00000X).
Where does Marven Wallen & S. Kenneth Jacobson, MD PA practice?
The practice location is 1985 Springfield Ave, Maplewood, NJ 07040-3435. The office can be reached at 973-763-5010 (phone) or 973-761-6980 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053507566 directly on the NPPES registry website.