Individual
DR. JAMES STEVEN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 SHREWSBURY AVE, SUITE 210, SHREWSBURY, NJ 07702-4179
(732) 747-4744
(732) 747-4751
Mailing address
655 SHREWSBURY AVE, SUITE 210, SHREWSBURY, NJ 07702-4179
(732) 747-4744
(732) 747-4751
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
168229
NY
208600000X
Surgery Physician
ME62669
FL
2086S0127X
Trauma Surgery Physician
168229
NY
2086S0129X
Vascular Surgery Physician
168229
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02641532
—
NY
Enumeration date
09/21/2005
Last updated
12/29/2008
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