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Organization

OCEAN PEDIATRIC GROUP, P.A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GOLAM GARIB NOAZ M.D. (PHYSICIAN)
(732) 542-6451
Entity
Organization

Contact information

Practice address
1 INDUSTRIAL WAY W # C, EATONTOWN, NJ 07724-2255
(732) 542-6451
(732) 542-1654
Mailing address
1 INDUSTRIAL WAY W # C, EATONTOWN, NJ 07724-2255
(732) 542-6451
(732) 542-1654

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0853704
NJ
05
2015706
NJ
05
7012101
NJ
Enumeration date
04/24/2008
Last updated
04/24/2008
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