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JERSEY SHORE BRACHYTHERAPY P A NPI 1013044585


NPI Information

NPI: 1013044585
Provider Name: JERSEY SHORE BRACHYTHERAPY P A
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
900 ROUTE 70 WEST
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 739-6476
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JERSEY SHORE BRACHYTHERAPY P A is a radiation oncology radiology in Lakewood, NJ. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. JERSEY SHORE BRACHYTHERAPY P A NPI is 1013044585. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 ROUTE 70 WEST
LAKEWOOD, NJ
ZIP 08701-940
Phone: (732) 739-6476
Fax: (732) 739-2056

The provider's authorized official is Stewart A Berkowitz .
The authorized official title is President and has the following contact phone number (732) 739-6476.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 10/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1598919MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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