Individual
LEENA RACHEL JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
318 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1705
(856) 547-6000
(856) 546-3189
Mailing address
318 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1705
(856) 547-6000
(856) 546-3189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09680500
NJ
207Q00000X
Family Medicine Physician
OS017348
PA
Other
Enumeration date
06/26/2012
Last updated
10/26/2016
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