Organization
SOUTHERN OCEAN COUNTY SURGICAL ASSOCIATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY GRACHEV M.D. (PROPRIETOR)
(609) 597-9477
Entity
Organization
Contact information
Practice address
44 NAUTILUS DR, SUITE 2B, MANAHAWKIN, NJ 08050-2466
(609) 597-9477
(609) 489-0226
Mailing address
44 NAUTILUS DR, SUITE 2B, MANAHAWKIN, NJ 08050-2466
(609) 597-9477
(609) 489-0226
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA07937200
NJ
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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