Organization
SEASHORE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS TODD GIBBENS MD (OWNER)
(732) 539-8714
Entity
Organization
Contact information
Practice address
4 SYCAMORE LN, RUMSON, NJ 07760-1035
(732) 539-8714
Mailing address
4 SYCAMORE LN, RUMSON, NJ 07760-1035
(732) 539-8714
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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