Organization
BRICK CARDIOVASCULAR SPECIALISTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON E VITOLO (PRACTICE ADMINISTRATOR)
(732) 240-3700
Entity
Organization
Contact information
Practice address
147 ROUTE 37 W, TOMS RIVER, NJ 08755-8062
(732) 240-3700
(732) 240-1385
Mailing address
147 ROUTE 37 W, TOMS RIVER, NJ 08755-8062
(732) 240-3700
(732) 240-1385
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0774979000
AMERIHEALTH
NJ
01
—
1073951
HORIZON NJ HEALTH
NJ
01
—
2311375
AETNA
NJ
05
—
3160408
—
NJ
01
—
CG9694
RAILROAD MEDICARE
NJ
Enumeration date
08/29/2006
Last updated
08/31/2011
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