Brock, James Steven
Brock, James Steven is an individual health care provider with primary practice located at 655 Shrewsbury Ave Suite 210, Shrewsbury NJ 07702-4179. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Brock, James Steven can be contacted via phone (732) 747-4744.Contact Information
Primary practice address
655 Shrewsbury Ave Suite 210
Shrewsbury NJ 07702-4179
Phone: (732) 747-4744
Fax: (732) 747-4751
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 168229 | New York |
Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 168229 | New York |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 168229 | New York |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME62669 | Florida |
Profile Details
NPI number | 1477549954 |
---|---|
LBN Legal business name | Brock, James Steven |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2005 |
Last updated | Dec 29th, 2008 - about 16 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 | 1477549954 | NPPES |
New York | MEDICAID | 02641532 |
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