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Contact Information

SUNIL R THACKER, MD
1200 EAGLE AVE
SUITE 100
OCEAN, NJ07712
 Phone: 732-660-6200
 Fax: 732-775-6142
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for SUNIL R THACKER · (Male)

NPI # 1053455345
Status Active
Credentials MD
Entity Individual
Enumeration date 02/19/2007
Last updated 05/18/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA07218400
  • NJ Other 20023925 RAILROAD MEDICARE
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
  • OCEAN MEDICAL CENTER - (Acute Care)
    425 JACK MARTIN BLVD
    BRICK, NJ 08724
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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