Organization
COASTAL JERSEY EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN H URETSKY MD (PROPRIETOR)
(609) 927-3373
Entity
Organization
Contact information
Practice address
2021 NEW ROAD, STE 6, LINWOOD, NJ 08221
(609) 927-3373
(609) 927-4041
Mailing address
2021 NEW ROAD, STE 6, LINWOOD, NJ 08221
(609) 927-3373
(609) 927-4041
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
086183
MEDICARE
NJ
01
—
1669921
PPO AMERIHEALTH
—
01
—
2345288000
HMO AMERIHEALTH
—
01
—
3724882
AETNA
—
01
—
DC5481
RAILROAD MEDICARE
GA
Enumeration date
05/05/2006
Last updated
04/20/2008
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