Individual
DR. JACK HARVEY DWORKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.C.C.
Contact information
Practice address
146 US HIGHWAY 9, SUITE B, ENGLISHTOWN, NJ 07726-8249
(732) 972-1151
(732) 972-9492
Mailing address
146 US HIGHWAY 9, SUITE B, ENGLISHTOWN, NJ 07726-8249
(732) 972-1151
(732) 972-9492
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA04348800
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
25MA04348800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040678
AETNA
NH
01
—
0077109
GHI
NJ
01
—
0099090000
AMERIHEALTH
NH
05
—
0384003
—
NJ
01
—
060005317
MEDICARE RAILROAD
NJ
01
—
MS021
OXFORD
NJ
Enumeration date
10/05/2006
Last updated
04/11/2024
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