# COASTAL SURGERY CENTER, LLC

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

## Provider details

- **NPI number:** 1316219470
- **Authorized official:** LISA HANSON (DIRECTOR OF FINANCE)
- **Authorized official phone:** (732) 280-7855

## Contact information

- **Practice address:** 3700 ROUTE 33, SUITE LL-01, NEPTUNE, NJ 07753-3206
- **Practice address phone:** (732) 280-7855
- **Mailing address:** 3700 ROUTE 33, SUITE LL-01, NEPTUNE, NJ 07753-3206
- **Mailing address phone:** (732) 280-7855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2012
- **Last updated:** 02/06/2012
