MEDICARE: JACOB PETER SAEMAN R.PH.

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
1	183500000X	Pharmacist	RI01681200	NJ

General Provider Information

NPI Number	:	1538224233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACOB PETER SAEMAN R.PH.

Provider Business Mailing Address
First Line	:	68 BEECHWOOD DR
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-5704
Country	:	US
Telephone Number	:	973-694-2682
Fax Number	:	866-891-3334

Provider Business Practice Location Address
First Line	:	678 WYCKOFF AVE
Second Line	:
City	:	WYCKOFF
State	:	NJ
Zip	:	07481-1430
Country	:	US
Telephone Number	:	201-891-3333
Fax Number	:	201-891-6392

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/25/2006
Last Update Date	:	07/08/2007

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