NPI 1720256910

Ellis Jacobs, PHD

Practitioner Diplomate Laboratory Management Specialist/Technologist Teaneck, NJ

Practice location

Address: 540 Wyndham Rd, Teaneck, NJ 07666-2612
Phone: (201) 836-1518
Fax: (212) 318-4699

Registered specialties

Diplomate Laboratory Management Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QL0901X Licence JACOE1 (NY)

Other Specialist/Technologist, Pathology providers in New Jersey →

Registry record

NPI: 1720256910
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Feb 2008
Record last updated: 1 Jul 2013

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.