Organization
OCEAN GYNECOLOGICAL & OBSTETRICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E FABRICANT MD (DIRECTOR)
(732) 364-8000
Entity
Organization
Contact information
Practice address
475 ROUTE 70, LAKEWOOD, NJ 08701-5897
(732) 364-8000
(732) 364-4601
Mailing address
PO BOX 8000, DEPT 797, BUFFALO, NY 14267-0002
(866) 295-0041
(732) 557-7109
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2664500
—
NJ
Enumeration date
05/08/2006
Last updated
06/10/2014
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