person
Dr. Stuart Jacob, DPM
Foot & Ankle Surgery Podiatrist in Burlington, New Jersey
NPI 1538156963

Stuart Jacob is a Foot & Ankle Surgery Podiatrist based in Burlington, NJ and is specialized in Foot & Ankle Surgery. Stuart Jacob practices in Burlington, NJ and has the professional credentials of DPM. The NPI Number for Stuart Jacob is 1538156963 and holds a License No. 25MD00189200 (New Jersey).

The current practice location address for Stuart Jacob is 319 W Broad St, Burlington, NJ and can be reached out via phone at 609-386-0217 and via fax at 609-386-2205.

Location: 319 W Broad St, Burlington, NJ, 08016-1343
person
Provider Profile Details
NPI Number
1538156963
Provider Name
Stuart Jacob
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
319 W Broad St, Burlington, NJ, 08016-1343
Phone Number
609-386-0217
Fax Number
609-386-2205
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
223483019 01 NJ PALMETTO RAILROAD MEDICAR
0099360000 01 INDEPENDENCE BLUE CROSS PERSONAL CHOICE
6324401 05 NJ
J013907 01 NJ TRICARE
0099360000 01 INDEPENDENCE BLUE SHIELD
223483019 01 NJ HORIZON
223483019 01 INDEPENDENCE BLUE
4146690001 01 NJ DME REGION A
BNS146 01 NJ OXFORD
000781126001 01 NJ UNITED HEALTHCARE
6111499 01 NJ CIGNA
0099360000 01 NJ AMERIHEALTH
0183361 01 NJ AETNA
institution
Provider Business Practice Location Address Details
Address
319 W Broad St
City
State
Zip
08016-1343
Phone Number
609-386-0217
Fax Number
609-386-2205
person
Provider Business Mailing Address Details
Address
319 W Broad St
City
State
Zip
08016-1343
Phone Number
609-386-0217
Fax Number
609-386-2205
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
25MD00189200 (New Jersey)
Definition
Definition to come...
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