Organization
COASTAL PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEHSIN QUDSI MD (OWNER)
(732) 905-9855
Entity
Organization
Contact information
Practice address
25 N COUNTY LINE RD, JACKSON, NJ 08527-1270
(732) 905-9855
(732) 905-9860
Mailing address
25 N COUNTY LINE RD, JACKSON, NJ 08527-1270
(732) 905-9855
(732) 905-9860
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MAO58076
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5293707
—
NJ
Enumeration date
03/02/2007
Last updated
09/25/2012
Update your record
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