Individual
JESSICA R CODJOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4000
Mailing address
P.O. BOX 8500-2946, PHILADELPHIA, PA 19178-2946
(609) 815-7810
(609) 815-7814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA08213600
NJ
207Q00000X
Family Medicine Physician
MT184781
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181951
—
NJ
Enumeration date
12/14/2006
Last updated
05/17/2021
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