# CORNERSTONE MEDICAL AND SURGICAL ASSOCIATES L.L.C.

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

## Provider details

- **NPI number:** 1457809402
- **Authorized official:** BRUCE PETERS D.O. (OFFICER/MANAGER)
- **Authorized official phone:** (732) 281-0100

## Contact information

- **Practice address:** 54 BEY LEA RD, SUITE 3, TOMS RIVER, NJ 08753-2978
- **Practice address phone:** (732) 281-0100
- **Practice address fax:** (732) 281-0400
- **Mailing address:** 54 BEY LEA RD, SUITE 3, TOMS RIVER, NJ 08753-2978
- **Mailing address phone:** (732) 281-0100
- **Mailing address fax:** (732) 281-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 25MA03236800 | NJ | — |
| 207K00000X | Allergy & Immunology Physician | 25MA0832810 | NJ | — |
| 207K00000X | Allergy & Immunology Physician | 25MA08847700 | NJ | — |
| 207K00000X | Allergy & Immunology Physician | 25MB05659300 | NJ | — |
| 207Y00000X | Otolaryngology Physician | 25MA07280500 | NJ | — |
| 207Y00000X | Otolaryngology Physician | 25MA09358600 | NJ | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 25MB06567300 | NJ | Yes |
| 363LF0000X | Family Nurse Practitioner | 26NJ00161000 | NJ | — |

## Other

- **Enumeration date:** 09/20/2016
- **Last updated:** 09/20/2016