Provider Demographics
NPI:1376703512
Name:PINCUS, JILLIAN RUTH (MD)
Entity Type:Individual
Prefix:DR
First Name:JILLIAN
Middle Name:RUTH
Last Name:PINCUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1814
Mailing Address - Country:US
Mailing Address - Phone:973-635-6055
Mailing Address - Fax:
Practice Address - Street 1:1 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-1814
Practice Address - Country:US
Practice Address - Phone:973-635-6055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-11
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03103100207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology