Organization
COASTAL NEUROSCIENCES PC
Active
Other names
Coastal Physicians & Surgeons PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW S GLASS MD (PRESIDENT)
(609) 653-9110
Entity
Organization
Contact information
Practice address
110 HARBOR LANE, SOMERS POINT, NJ 08244-2470
(609) 653-9110
(609) 653-4105
Mailing address
110 HARBOR LANE, SOMERS POINT, NJ 08244-2470
(609) 653-9110
(609) 653-4105
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7771908
—
NJ
Enumeration date
01/26/2007
Last updated
07/11/2016
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