MARVEN WALLEN & S. KENNETH JACOBSON, MD PA is a general practice in Maplewood, NJ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee MARVEN WALLEN & S. KENNETH JACOBSON, MD PA NPI is 1053507566. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1985 SPRINGFIELD AVE
MAPLEWOOD, NJ
ZIP 07040-435
Phone: (973) 763-5010
Fax: (973) 761-6980
The provider's authorized official is Marven H Wallen .
The authorized official title is Owner/administrator and has the following contact phone number (973) 763-5010.
The enumeration date for this NPI number is 9/18/2007 and was last updated on 6/19/2008.