Marven Wallen & S. Kenneth Jacobson, MD PA
Marven Wallen & S. Kenneth Jacobson, MD PA is a General Practice Physician in Maplewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.
- Licensed in
- NJ
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1985 Springfield AveMaplewood, NJ 07040-3435
Phone: (973) 763-5010
Fax: (973) 761-6980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X (NJ) |
|---|
Record details
| NPI number | 1053507566 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marven Wallen — Owner/Administrator · (973) 763-5010 |
| NPI enumerated | September 18, 2007 |
| Last updated in NPPES | June 19, 2008 |
| Mailing address | 1985 Springfield Ave, Maplewood, NJ 07040-3435 |
Other providers in Maplewood
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Dr. Aura Knox-Mask
18 Broadview Ave, Maplewood, NJ 07040-3612 · (973) 763-9212