JAY B BOSNIAK MD PA
Medical Practice at Pavilion Ave, West End, NJ

License number
New Jersey 25MA02566100
Category
Medical Practice
Type
Legal Medicine
Owner
Name: DR. JAY B BOSNIAK MD
Title: CEO
Phone: (732) 229-7440
Address
Address
143 Pavilion Ave, West End, NJ 07740
National Provider ID: 1629117239
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JAY B. BOSNIAK, M.D., PA

Long Branch, NJ

Registration:
Oct 10, 1974
State ID:
0000001608
Business type:
PA

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