Organization
JERSEY SHORE UNIVERSITY MEDICAL CENTER FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM PHILLIPS (CFO)
(732) 751-7520
Entity
Organization
Contact information
Practice address
71 DAVIS AVE, NEPTUNE, NJ 07753-4401
(732) 776-4201
(732) 776-4892
Mailing address
71 DAVIS AVE, NEPTUNE, NJ 07753-4401
(732) 776-4210
(732) 776-4892
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3675718
—
NJ
Enumeration date
10/20/2006
Last updated
08/22/2020
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