Samuel Sunny Jacob, D.O.
NPI #1134651391 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1134651391
- Entity Type
- Individual
- Name
- Samuel Sunny Jacob, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Medicine & Rehabilitation - Sports Medicine
- Credential
- D.O.
- Enumeration Date
- Mar 28, 2017
- Last Updated
- Aug 18, 2022
Practice Location
- Address
- 1200 EAST RIDGEWOOD AVENUE
- Address 2
- EAST WING, SUITE 306,
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450
- Phone
- (201) 612-4857
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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