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Organization
CENTRAL OCEAN COUNTY DIAGNOSTIC IMAGING CENTER, LLC
Active
Organization
CENTRAL OCEAN COUNTY DIAGNOSTIC IMAGING CENTER, LLC
Active
Other names
Central Ocean Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK M O'CONNOR COO (COO)
(609) 971-1606
Entity
Organization
Contact information
Practice address
5 LACEY RD, FORKED RIVER, NJ 08731-4238
(609) 971-1606
(609) 971-1632
Mailing address
5 LACEY RD, FORKED RIVER, NJ 08731
(609) 971-1606
(609) 971-1632
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
23357
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0053295
—
NJ
Enumeration date
06/01/2006
Last updated
08/22/2020
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