Rodriguez-Bostock, Susan
Rodriguez-Bostock, Susan is an individual health care provider with primary practice located at 27 S Cooks Bridge Rd Ste 2-1, Jackson NJ 08527-2524. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Rodriguez-Bostock, Susan can be contacted via phone (732) 987-5780.Contact Information
Primary practice address
27 S Cooks Bridge Rd Ste 2-1
Jackson NJ 08527-2524
Phone: (732) 987-5780
Fax: (732) 987-5787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA06662300 | New Jersey |
Profile Details
| NPI number | 1750391686 |
|---|---|
| LBN Legal business name | Rodriguez-Bostock, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Aug 10th, 2018 - about 6 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 | 1750391686 | NPPES |
| New Jersey | MEDICAID | 7963807 |
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