Individual
JORDAN SACKLER FARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-4357
Mailing address
NAVAL MEDICAL CENTER CAMP LEJEUNE, 100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
02006430A
IN
207L00000X
Anesthesiology Physician
02006430A
IN
207L00000X
Anesthesiology Physician
Primary
25MB12661400
NJ
Other
Enumeration date
05/01/2017
Last updated
09/30/2025
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