Individual
JONATHAN HAVENS BRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1945 ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-4404
(732) 776-4672
Mailing address
PO BOX 845592, DALLAS, TX 75284-5592
(855) 709-4531
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA07260000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009067
—
NJ
01
—
P00010444
RAILROAD MEDICARE
NJ
Enumeration date
06/02/2005
Last updated
02/04/2014
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