Dr. J Gordon Boak
Internist - Cardiovascular Disease
301 Bingham Ave
Ocean
, New Jersey 07712-4700
Dr. J Gordon Boak
Internist - Cardiovascular Disease
301 Bingham Ave
Ocean
, New Jersey 07712-4700
(732) 774-9148
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. J Gordon Boak
- 2102 Corlies Ave
- Neptune, NJ
- Zip : 07753-6141
- Fax : (732) 774-9148
- Phone : (732) 776-8535
Second Address
- Dr. J Gordon Boak
- 301 Bingham Ave
- Ocean, NJ
- Zip : 07712-4700
- Fax : (732) 663-0301
- Phone : (732) 663-0300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | MA298909 | NJ |
National Provider Identifier
| NPI | 1013984087 |
|---|---|
| Provider Name | Dr. J Gordon Boak |
| First Address | Neptune, NJ 07753-6141 |
| Second Address | Ocean, NJ 07712-4700 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0012181 | (05) | NJ |
| 53130 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.