SAMUEL SUNNY JACOB

RIDGEWOOD, NJ
NPI1134651391
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: NJ  25MB11490200)
Enumeration Date2017-03-28
Last Update Date2022-08-18
Business Address
SAMUEL SUNNY JACOB D.O.
1200 EAST RIDGEWOOD AVENUE EAST WING, SUITE 306,
RIDGEWOOD, NJ 07450
Phone number: 201-612-4857
Mailing Address
SAMUEL SUNNY JACOB D.O.
18 MARTINO WAY
POMONA, NY 10970-2649
Phone number: 914-318-0088
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