Sage, Jacob

Sage, Jacob is an individual health care provider with primary practice located at 125 Paterson St Clinical Academic Building - Suite 6100, New Brunswick NJ 08901-1962. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Sage, Jacob can be contacted via phone (732) 235-7733.

Contact Information

Primary practice address
125 Paterson St Clinical Academic Building - Suite 6100 New Brunswick NJ 08901-1962
Phone: (732) 235-7733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 25MA02762200 New Jersey

Profile Details

NPI number 1912072109
LBN Legal business name Sage, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Sep 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912072109 NPPES
New Jersey Other 130005904 RR MCR PTAN
New Jersey MEDICAID 1903802 RR MCR PTAN

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