# EAST COAST ORTHOPAEDIC & SPORTS MEDICINE,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245317346
- **Authorized official:** RAYMOND WEIAND DO (PARTNER)
- **Authorized official phone:** (609) 748-2922

## Contact information

- **Practice address:** MEDICAL ARTS PAVILION, RT 72 WEST \#306, MANAHQWKIN, NJ 08050
- **Practice address phone:** (609) 748-2922
- **Practice address fax:** (609) 748-2911
- **Mailing address:** 44 E JIMMIE LEEDS RD, SUITE 102, GALLOWAY, NJ 08205-9599
- **Mailing address phone:** (609) 748-2922
- **Mailing address fax:** (609) 748-2911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020