Iacobucci, Audrey Jane

Iacobucci, Audrey Jane is an individual health care provider with primary practice located at 527 S Black Horse Pike , Blackwood NJ 08012-2868. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Iacobucci, Audrey Jane can be contacted via phone (856) 228-1061.

Contact Information

Primary practice address
527 S Black Horse Pike Blackwood NJ 08012-2868
Fax: (856) 228-1907
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA08469700 New Jersey

Profile Details

NPI number 1154589869
LBN Legal business name Iacobucci, Audrey Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated May 26th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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