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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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 1750391686 NPPES
New Jersey MEDICAID 7963807

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