Organization
OAKSHORE PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN DIETZOLD MD (OWNER)
(856) 439-4330
Entity
Organization
Contact information
Practice address
185 ROUTE 36 STE 120, WEST LONG BRANCH, NJ 07764-1339
(856) 439-4330
Mailing address
185 ROUTE 36 STE 120, WEST LONG BRANCH, NJ 07764-1339
(856) 439-4330
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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