Organization
COASTAL ENDO, LLC
Active
Other names
COASTAL ENDOSCOPY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
175 GUNNING RIVER RD UNIT 4, BARNEGAT, NJ 08005-1436
(609) 698-0700
(609) 698-0777
Mailing address
175 GUNNING RIVER RD UNIT 4, BARNEGAT, NJ 08005-1436
(609) 698-0700
(609) 698-0777
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
10/04/2024
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