Brock, Donald James

Brock, Donald James is an individual health care provider with primary practice located at 375 Mount Pleasant Ave , West Orange NJ 07052-2724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Brock, Donald James can be contacted via phone (973) 731-9442.

Contact Information

Primary practice address
375 Mount Pleasant Ave West Orange NJ 07052-2724
Phone: (973) 731-9442
Fax: (973) 731-2918
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA02574600 New Jersey

Profile Details

NPI number 1659371334
LBN Legal business name Brock, Donald James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Apr 30th, 2009 - about 15 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 1659371334 NPPES
New Jersey MEDICAID 936308

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