Dr. Audrey J Iacobucci, MD
Pediatrics in Blackwood, New Jersey
1154589869- Practice location
- 527 S Black Horse Pike, Blackwood, NJ 08012-2868
- Phone
- 856-228-1061
- Fax
- 856-228-1907
- Last updated
- May 26, 2011
Audrey Jane Iacobucci is a Pediatrics based in Blackwood, NJ. Audrey Jane Iacobucci practices in Blackwood, NJ and has the professional credentials of MD. The NPI Number for Audrey Jane Iacobucci is 1154589869 and holds a License No. 25MA08469700 (NJ). The current practice location address for Audrey Jane Iacobucci is 527 S Black Horse Pike, Blackwood, NJ 08012-2868 and can be reached out via phone at 856-228-1061 and via fax at 856-228-1907.
Provider Profile Details
- NPI Number
- 1154589869
- Provider Name
- Audrey Jane Iacobucci
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 527 S Black Horse Pike, Blackwood, NJ 08012-2868
- Phone Number
- 856-228-1061
- Fax Number
- 856-228-1907
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 29, 2008
- Last Update Date
- May 26, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 527 S Black Horse Pike
Blackwood, NJ 08012-2868 - City
- Blackwood
- State
- New Jersey
- Zip
- 08012-2868
- Phone Number
- 856-228-1061
- Fax Number
- 856-228-1907
Provider Business Mailing Address Details
- Address
- 402 Lippincott Dr
Marlton, NJ 08053-4112 - City
- Marlton
- State
- NJ
- Zip
- 08053-4112
- Phone Number
- 856-782-3300
- Fax Number
- 856-504-8029
License Information
- License Number
- 25MA08469700
- License State
- NJ
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Blackwood, NJ
View all Pediatrics providers in Blackwood →Frequently Asked Questions
What is the NPI number of Dr. Audrey J Iacobucci, MD?
The NPI number of Dr. Audrey J Iacobucci, MD is 1154589869. It was assigned on May 29, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Audrey J Iacobucci, MD?
Dr. Audrey J Iacobucci, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number 25MA08469700.
Where does Dr. Audrey J Iacobucci, MD practice?
The practice location is 527 S Black Horse Pike, Blackwood, NJ 08012-2868. The office can be reached at 856-228-1061 (phone) or 856-228-1907 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154589869 directly on the NPPES registry website.