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East Coast Woman'S Health & Pelvic Surgery LLC

Obstetrics & Gynecology, Gynecology in Barnegat, NJ. Organization (NPI-2).

NPI number1982803177
StatusActive
Last updated in NPPESJul 17, 2007

Details

NPI
1982803177
Entity type
Organization (NPI-2)
Legal business name
East Coast Woman'S Health & Pelvic Surgery LLC
Organization subpart
No
Enumeration date
Jul 17, 2007
Last updated
Jul 17, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207VG0400X Obstetrics & Gynecology, Gynecology25MB07112600NJYes

Practice location

890 W Bay Ave
Suite F
Barnegat, NJ 08005-2150

Phone 609-698-8880 · Fax 609-698-8881

Mailing address

1 Anise Ct
Manahawkin, NJ 08050-5610

Phone 609-661-4071 · Fax 609-978-8570

Authorized official

Joseph Michael Miller
Owner
6096614071

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