Organization
JAY B BOSNIAK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY B BOSNIAK MD (CEO)
(732) 229-7440
Entity
Organization
Contact information
Practice address
143 PAVILION AVE, LONG BRANCH, NJ 07740-6415
(732) 229-7440
(732) 229-2149
Mailing address
143 PAVILION AVE, LONG BRANCH, NJ 07740-6415
(732) 229-7440
(732) 229-2149
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
25MA02566100
NJ
Other
Enumeration date
02/06/2007
Last updated
06/24/2013
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