Organization
TOMS RIVER MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP BARRECA (EXECUTIVE VICE PRESIDENT)
(732) 341-0325
Entity
Organization
Contact information
Practice address
334 COMMONS WAY, BUILDING C, TOMS RIVER, NJ 08755-6428
(732) 341-0325
Mailing address
334 COMMONS WAY, BUILDING C, TOMS RIVER, NJ 08755-6428
(732) 341-0325
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2693607
—
NJ
Enumeration date
05/19/2006
Last updated
08/22/2020
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