Basic Information
| Provider Information | |||||||||
| NPI: | 1295935054 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VANHOOK | ||||||||
| FirstName: | JEFFREY | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 436 CHRIS GAUPP DR | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | GALLOWAY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 082054487 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6096520100 | ||||||||
| FaxNumber: | 6096527616 | ||||||||
| Practice Location | |||||||||
| Address1: | 436 CHRIS GAUPP DR | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | GALLOWAY | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 082054487 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6096520100 | ||||||||
| FaxNumber: | 6096527616 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2007 | ||||||||
| LastUpdateDate: | 08/16/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0011X | 25MB08207700 | NJ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology | 207RC0000X | 25MB0820770 | NJ | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.