SAMUEL SUNNY JACOB D.O.
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Sports Medicine
Provider Information
- NPI Number
1134651391- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 1200 EAST RIDGEWOOD AVENUE EAST WING, SUITE 306,, RIDGEWOOD, NJ, 07450
- Phone
- (201) 612-4857
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Sports Medicine
Primary License: NJ #25MB11490200