Individual
JACOB ROBERT METHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
1081 MULLICA HILL RD, MULLICA HILL, NJ 08062-4721
(856) 759-9900
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/11/2026
Last updated
04/11/2026
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