Organization
COASTAL UROLOGY ASSOCIATES PA
Active
Parent organization
COASTAL UROLOGY ASSOCIATES PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
COASTAL UROLOGY ASSOCIATES PA
Authorized official
MRS. IRIS BRENNAN (PRACTICE MANAGER)
(732) 840-4300
Entity
Organization
Contact information
Practice address
900 ROUTE 70 EAST, LAKEWOOD, NJ 08701-5940
(732) 840-4300
(732) 840-4515
Mailing address
900 ROUTE 70 EAST, LAKEWOOD, NJ 08701-5940
(732) 840-4300
(732) 840-4515
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MA3227400
NJ
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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