Individual provider · NPI-1

Jamil Abou Issa, MD

Student in an Organized Health Care Education/Training Program · Camden, NJ

NPI number1427738376

StatusActive

Last updated in NPPESJul 24, 2023

Details

NPI: 1427738376
Entity type: Individual (NPI-1)
Name: Jamil Abou Issa
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: Jul 24, 2023
Certification date: Jul 24, 2023
Last updated: Jul 24, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	–	–	Yes

Practice location

1 Cooper Plz
Camden, NJ 08103-1461

Phone 800-826-6737

Mailing address

42 S 15th St Unit 1610
Philadelphia, PA 19102-2208

Phone 215-607-1704

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