Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 120316 | NY |
N | 207KA0200X | Allergist | 25MA02947800 | NJ |
N | 2080P0201X | Pediatric Allergist | 120316-1 | NY |
Y | 2080P0201X | Pediatric Allergist | 25MA02947800 | NJ |
NPI | 1457460966 |
---|---|
Provider Name | Dr. Jeffrey Hall Dobken |
First Address | Little Silver, NJ 07739 |
Second Address | Little Silver, NJ 07739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 31/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036077 | (02) | |
D18655 | (02) |