Individual
JAKOB TIETZ-BOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
100 MEDICAL CENTER WAY, SOMERS POINT, NJ 08244-2300
(609) 653-3500
Mailing address
100 MEDICAL CENTER WAY, SOMERS POINT, NJ 08244-2300
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
43ZA00727700
NJ
Other
Enumeration date
07/08/2024
Last updated
07/10/2024
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