Bloch, Jay Laurence

Bloch, Jay Laurence is an individual health care provider with primary practice located at 2301 Evesham Road Suite #508, Voorhees NJ 08043-4506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bloch, Jay Laurence can be contacted via phone (856) 651-0500.

Contact Information

Primary practice address
2301 Evesham Road Suite #508 Voorhees NJ 08043-4506
Phone: (856) 651-0500
Fax: (856) 651-0700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MA49807 New Jersey

Profile Details

NPI number 1790717114
LBN Legal business name Bloch, Jay Laurence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jan 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790717114 NPPES
New Jersey MEDICAID 3612201

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