# COASTAL SURGICAL ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1780186684
- **Authorized official:** MRS. LAINEY LALLY RNFA (PRESIDENT)
- **Authorized official phone:** (732) 233-7415

## Contact information

- **Practice address:** 1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
- **Practice address phone:** (732) 233-7415
- **Mailing address:** 15 DRUM CT, HOWELL, NJ 07731-1655
- **Mailing address phone:** (732) 233-7415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | Yes |
| 163WR0006X | Registered Nurse First Assistant | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2018
- **Last updated:** 03/06/2018