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Organization
SOUTHERN OCEAN SPECIALTY PHYSICIANS, P.C.
Active
Organization
SOUTHERN OCEAN SPECIALTY PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J NIEWIADOMSKI M.D. (PRESIDENT)
(609) 978-8900
Entity
Organization
Contact information
Practice address
1100 ROUTE 72 W, SUITE 305, MANAHAWKIN, NJ 08050-2468
(609) 978-3359
(609) 978-3060
Mailing address
1364 ROUTE 72 W, MANAHAWKIN, NJ 08050-2485
(609) 971-7986
(609) 597-4557
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069329
—
NJ
Enumeration date
07/09/2006
Last updated
12/13/2007
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