# OCEAN PARK OB-GYN, PA

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

## Provider details

- **NPI number:** 1609096890
- **Authorized official:** JEANINE L VILLABON (BILLING CREDENTIALING MANAGER)
- **Authorized official phone:** (732) 663-0030

## Contact information

- **Practice address:** 1900 HWY 35 S, SUITE 100, OAKHURST, NJ 07755-2758
- **Practice address phone:** (732) 663-0030
- **Practice address fax:** (732) 663-0882
- **Mailing address:** 1900 HWY 35 S, SUITE 100, OAKHURST, NJ 07755-2758
- **Mailing address phone:** (732) 663-0030
- **Mailing address fax:** (732) 663-0882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 10/12/2010