Organization
COASTAL UROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY C LINN MD (VICE PRESIDENT)
(732) 840-4300
Entity
Organization
Contact information
Practice address
446 JACK MARTIN BLVD, BRICK, NJ 08724-7733
(732) 840-4300
(732) 840-4515
Mailing address
446 JACK MARTIN BLVD, BRICK, NJ 08724-7733
(732) 840-4300
(732) 840-4515
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2634503
—
NJ
Enumeration date
11/23/2005
Last updated
01/31/2012
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