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Individual

DR. JORDAN M YAKOBY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(800) 826-6737
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924

Taxonomy

Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
26NJ00587000
NJ
2084A2900X
Neurocritical Care Physician
F431419
NY
363LA2100X
Acute Care Nurse Practitioner
26NJ00587000
NJ
363LA2100X
Acute Care Nurse Practitioner
F431419
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0474215
NJ
05
660541
PA
05
660553
PA
Enumeration date
08/31/2015
Last updated
12/02/2020
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