NPI 1154589869

Audrey Jane Iacobucci, MD

Practitioner Pediatrics Physician Blackwood, NJ

Practice location

Address: 527 S Black Horse Pike, Blackwood, NJ 08012-2868
Phone: (856) 228-1061
Fax: (856) 228-1907
Mailing address: 402 Lippincott Dr, Marlton, NJ 08053-4112

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 25MA08469700 (NJ)

Other Pediatrics providers in New Jersey →

Registry record

NPI: 1154589869
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 May 2008
Record last updated: 26 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.