Individual
BROCK THOMAS TALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2315 ROUTE 34, MANASQUAN, NJ 08736-1444
(329) 740-4047
(732) 449-4271
Mailing address
2315 ROUTE 34, MANASQUAN, NJ 08736-1444
(329) 740-4047
(732) 449-4271
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00870500
NJ
Other
Enumeration date
06/19/2023
Last updated
09/03/2024
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