Brad Hinkle, LLC
Clinic/Center in Toms River, NJ. Organization (NPI-2).
NPI number1356765267
StatusActive
Last updated in NPPESFeb 12, 2014
Details
- NPI
- 1356765267
- Entity type
- Organization (NPI-2)
- Legal business name
- Brad Hinkle, LLC
- Organization subpart
- No
- Enumeration date
- Feb 12, 2014
- Last updated
- Feb 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 25MB02895500 | NJ | Yes |
Practice location
300 W Water StToms River, NJ 08753-6692
Phone 732-779-3923
Mailing address
1000 Mermaid AveBeachwood, NJ 08722-4512
Phone 732-779-3923
Authorized official
Bradford R Hinkle
Physician/Owner
7327793923
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