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Individual

DR. JASON THOMAS RUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D

Contact information

Practice address
201 HOOPER AVE STE 4, TOMS RIVER, NJ 08753-7671
(732) 608-3196
Mailing address
123 LIEN ST, TOMS RIVER, NJ 08753-6505
(732) 608-3196

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00592200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002980
NJ
Enumeration date
06/25/2018
Last updated
07/26/2021
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