Provider Demographics
NPI:1285651034
Name:RT BOCK MD CONSULTANCY, LLC
Entity Type:Organization
Organization Name:RT BOCK MD CONSULTANCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:TAMAS
Authorized Official - Last Name:BOCK
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:201-492-4987
Mailing Address - Street 1:91 UNION VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEWFOUNDLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07435-1603
Mailing Address - Country:US
Mailing Address - Phone:201-492-4987
Mailing Address - Fax:201-326-5121
Practice Address - Street 1:91 UNION VALLEY RD
Practice Address - Street 2:
Practice Address - City:NEWFOUNDLAND
Practice Address - State:NJ
Practice Address - Zip Code:07435-1603
Practice Address - Country:US
Practice Address - Phone:201-492-4987
Practice Address - Fax:201-326-5121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA65099173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1285651034OtherNPI
NJ1245251891OtherNPI
NJ1285651034OtherNPI