| Organization Name: | DANA B. JACOBY, MD, LLC |
| NPI Number: | 1174746846 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANA JACOBY (DIRECTOR) |
| Mailing Address: | 766 Shrewsbury Avenue 4th Floor Tinton Falls |
| State: | NJ US |
| Postal Code: | 07724 |
| Phone Number: | 7325304545 |
| Fax Number: | 7325305741 |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 07/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VX0000X |
| License Number: | 959061 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Obstetrics |
| Taxonomy Definition: | |