NPI 1215453857

Marianne Jacob

Practitioner Pediatric Endocrinology Physician West Orange, NJ

Practice location

Address: 375 Mount Pleasant Ave, West Orange, NJ 07052-2750
Phone: (973) 322-6900
Fax: (973) 322-6999
Mailing address: 48 Sycamore Ln, Roslyn Heights, NY 11577-2522

Registered specialties (2)

Pediatric Endocrinology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0205X Licence 297526 (NY)

Other Pediatrics providers in New Jersey →

Pediatric Endocrinology Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0205X Licence 25MB11494800 (NJ)

Registry record

NPI: 1215453857
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2017
Record last updated: 6 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.