Provider Demographics
NPI:1245251891
Name:BOCK, ROBERT TAMAS JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:TAMAS
Last Name:BOCK
Suffix:JR
Gender:M
Credentials:MD
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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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2019-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA65099173000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173000000XOther Service ProvidersLegal Medicine