Organization
JERSEY SHORE RADIOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BOCKER M.D. (DIRECTOR-ACTIVE, ATTENDING)
(732) 988-5796
Entity
Organization
Contact information
Practice address
2100 CORLIES AVE, NEPTUNE, NJ 07753-6102
(732) 988-5796
(732) 502-0368
Mailing address
2100 CORLIES AVE, NEPTUNE, NJ 07753-6102
(732) 988-5796
(732) 502-0368
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA02149600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2591308
—
NJ
Enumeration date
06/16/2005
Last updated
08/22/2020
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