DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARVEN WALLEN & S. KENNETH JACOBSON, MD PA

MEDICARE: MARVEN WALLEN & S. KENNETH JACOBSON, MD PA
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
1208D00000XGeneral Practice PhysicianNJ

General Provider Information

NPI Number : 1053507566
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARVEN WALLEN & S. KENNETH JACOBSON, MD PA
Provider Business Mailing Address
First Line : 1985 SPRINGFIELD AVE
Second Line :
City : MAPLEWOOD
State : NJ
Zip : 07040-3435
Country : US
Telephone Number : 973-763-5010
Fax Number : 973-761-6980
Provider Business Practice Location Address
First Line : 1985 SPRINGFIELD AVE
Second Line :
City : MAPLEWOOD
State : NJ
Zip : 07040-3435
Country : US
Telephone Number : 973-763-5010
Fax Number : 973-761-6980
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : DR. MARVEN H WALLEN
Credential : M.D.
Telephone Number : 973-763-5010
Provider Enumeration Date : 09/18/2007
Last Update Date : 06/19/2008

Similar Medicare Providers

1972598829 — MRS. WINSOME JOAN PARCHMENT M.D.
Practice Location Address:
1973 SPRINGFIELD AVE
MAPLEWOOD, NJ
07040-3435
Practice Phone: 973-313-2501
Practice Fax: 973-313-2505
1730231234 — DR. MARVEN H WALLEN M.D.
Practice Location Address:
1985 SPRINGFIELD AVE
MAPLEWOOD, NJ
07040-3435
Practice Phone: 973-763-5010
Practice Fax: 973-761-6980
1508020157 — METROPOLITAN OB/GYN, P.A.
Practice Location Address:
1973 SPRINGFIELD AVE
MAPLEWOOD, NJ
07040-3435
Practice Phone: 973-313-2501
Practice Fax: 973-313-2505
1992154678 — METROPOLITAN OBGYN
Practice Location Address:
1973 SPRINGFIELD AVE
MAPLEWOOD, NJ
07040-3435
Practice Phone: 973-996-2600
Practice Fax: 973-996-2601
1154771400 — LYNN GRAFFEO FNP
Practice Location Address:
1973 SPRINGFIELD AVE
MAPLEWOOD, NJ
07040-3435
Practice Phone: 973-313-2501
Practice Fax: 973-313-2505
1730635749 — ROSH OB-GYN ULTRASOUND OF NJ LLC
Practice Location Address:
1973 SPRINGFIELD AVE
MAPLEWOOD, NJ
07040-3435
Practice Phone: 973-996-2284
Practice Fax: 212-725-3738

Directions to “MARVEN WALLEN & S. KENNETH JACOBSON, MD PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.