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NPI Code Detail

MEDICARE: JACOB SCUTARU MD

MEDICARE:   JACOB  SCUTARU  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA11825900NJ
2207RI0200XInfectious Disease Physician286492NY
3207RI0200XInfectious Disease Physician25MA11825900NJ

General Provider Information

NPI Number : 1497195515
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB SCUTARU MD
Provider Business Mailing Address
First Line : 31 HAMLIN RD
Second Line :
City : EDISON
State : NJ
Zip : 08817-2950
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1771 MADISON AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1242
Country : US
Telephone Number : 732-364-6666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2013
Last Update Date : 07/15/2024

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Directions to “ JACOB SCUTARU MD” Practice Location

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