Jay B Bosniak MD PA

NPI #1629117239 in Long Branch, New Jersey

Provider Information

NPI Number: 1629117239
Entity Type: Organization
Organization Name: Jay B Bosniak MD PA
Primary Specialty: Legal Medicine
Enumeration Date: Feb 6, 2007
Last Updated: Jun 24, 2013

Practice Location

Address: 143 PAVILION AVE
City: Long Branch
State: New Jersey
ZIP Code: 07740-6415
Phone: (732) 229-7440

Authorized Official

Name: DR. JAY B BOSNIAK, MD
Title: CEO
Phone: (732) 229-7440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary

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