Organization
OCEAN SURGICAL & ONCOLOGY ASSOCIATES, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEBRA J HAGAMAN (MANAGER)
(732) 701-4848
Entity
Organization
Contact information
Practice address
478 BRICK BLVD, BRICK, NJ 08723-6077
(732) 701-4848
(732) 701-1469
Mailing address
478 BRICK BLVD, BRICK, NJ 08723-6077
(732) 701-4848
(732) 701-1469
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
25MA08247200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159794
—
NJ
01
—
DH1203
RR MEDICARE
NJ
01
—
ZE1773
HEALTHNET
NJ
Enumeration date
07/05/2007
Last updated
08/22/2014
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