Individual
AUSTIN KLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 HADDON RD, SOMERS POINT, NJ 08244-1520
(609) 214-4947
Mailing address
102 HADDON RD, SOMERS POINT, NJ 08244-1520
(609) 214-4947
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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