Provider Demographics
NPI:1508856766
Name:BOKSER, STUART JEFF (MSW)
Entity Type:Individual
Prefix:MR
First Name:STUART
Middle Name:JEFF
Last Name:BOKSER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:22 GEORGIAN BAY DR
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1322
Mailing Address - Country:US
Mailing Address - Phone:732-532-3703
Mailing Address - Fax:732-536-1715
Practice Address - Street 1:BLDING 1075 STEPHENSON AVE
Practice Address - Street 2:PATTERSON ARMY HEALTH CLINIC
Practice Address - City:FT. MONMOUTH
Practice Address - State:NJ
Practice Address - Zip Code:07703
Practice Address - Country:US
Practice Address - Phone:732-532-3703
Practice Address - Fax:732-532-6429
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001622001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ44SC00162200OtherLIC CLINICAL SOCIAL WORKE