Individual
JAY LAURENCE BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 EVESHAM ROAD, SUITE #508, VOORHEES, NJ 08043-4506
(856) 651-0500
(856) 651-0700
Mailing address
409 ROUTE 70 E, SUITE #508, CHERRY HILL, NJ 08034-2413
(856) 651-0500
(856) 651-0700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MA49807
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3612201
—
NJ
Enumeration date
07/07/2006
Last updated
01/05/2016
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