Individual
GARY M COOKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1430 HOOPER AVE, STE 201, TOMS RIVER, NJ 08753-2895
(732) 914-0000
(732) 914-0007
Mailing address
1430 HOOPER AVE, STE 201, TOMS RIVER, NJ 08753-2895
(732) 914-0000
(732) 914-0007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00465900
NJ
Other
Enumeration date
06/06/2006
Last updated
10/01/2007
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