Organization
OAKHURST MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA MACALUSO (PRACTICE MANAGER)
(732) 222-3243
Entity
Organization
Contact information
Practice address
40 MONMOUTH RD, OAKHURST, NJ 07755-1654
(732) 222-3243
(732) 222-3019
Mailing address
40 MONMOUTH RD, OAKHURST, NJ 07755-1654
(732) 222-3243
(732) 222-3019
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA066004
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK2104
PALMETTO GBA - RAILROAD MEDICARE
NJ
Enumeration date
09/28/2006
Last updated
12/01/2016
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