Individual
OLIVIA B BOCKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(310) 927-7476
Mailing address
58 COOKMAN AVE APT B, OCEAN GROVE, NJ 07756-1106
(310) 927-7476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00199300
NJ
Other
Enumeration date
07/13/2008
Last updated
04/09/2010
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