Boak, J Gordon
Boak, J Gordon is an individual health care provider with primary practice located at 301 Bingham Ave , Ocean NJ 07712-4700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Boak, J Gordon can be contacted via phone (732) 663-0300.Contact Information
Primary practice address
301 Bingham Ave
Ocean NJ 07712-4700
Phone: (732) 663-0300
Fax: (732) 663-0301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MA298909 | New Jersey |
Profile Details
| NPI number | 1013984087 |
|---|---|
| LBN Legal business name | Boak, J Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013984087 | NPPES |
| New Jersey | MEDICAID | 0012181 |
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