institution
Stuart Jacob Dpm Pa
Foot & Ankle Surgery Podiatrist in Burlington, New Jersey
NPI 1942236278

Stuart Jacob Dpm Pa is a Foot & Ankle Surgery Podiatrist based in Burlington, NJ and is specialized in Foot & Ankle Surgery. Stuart Jacob Dpm Pa practices in Burlington, NJ. The NPI Number for Stuart Jacob Dpm Pa is 1942236278 and holds a License No. MD01892 (New Jersey).

The current practice location address for Stuart Jacob Dpm Pa 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
institution
Provider Profile Details
NPI Number
1942236278
Provider Name
Stuart Jacob Dpm Pa
Credential
Provider Entity Type
Organization
Address
319 W Broad St, Burlington, NJ, 08016-1343
Phone Number
609-386-0217
Fax Number
609-386-2205
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2093185000 01 INDEPENDENCE BLUE SHIELD
5486906 05 NJ
2093185000 01 AMERIHEALTH
2093185000 01 KEYSTONE HEALTH PLAN EAST
2093185000 01 INDEPENDENCE BLUE SHIELD PERSONAL CHOICE
480033923 01 PALMETTO MEDICARE
7159901 05 NJ
6324401 05 NJ
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.
MD01892 (New Jersey)
Definition
Definition to come...
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