Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 25MA04523200 | NJ |
NPI | 1053584185 |
---|---|
Provider Name | Dr. Jacob Zeffren |
First Address | Nutley, NJ 07110-1150 |
Second Address | Nutley, NJ 07110-1150 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2008 |
Last Update Date | 09/04/2008 |