Organization
JERSEY SHORE BRACHYTHERAPY P A
Active
Parent organization
JERSEY SHORE BRACHYTHERAPY PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
JERSEY SHORE BRACHYTHERAPY PA
Authorized official
STEWART A BERKOWITZ MD (PRESIDENT)
(732) 739-6476
Entity
Organization
Contact information
Practice address
900 ROUTE 70 WEST, LAKEWOOD, NJ 08701-5940
(732) 739-6476
(732) 739-2056
Mailing address
6 REGAL CT, TOMS RIVER, NJ 08753-5642
(732) 739-6476
(732) 739-2056
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
10/01/2007
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