Organization
COASTAL SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HANSON (DIRECTOR OF FINANCE)
(732) 280-7855
Entity
Organization
Contact information
Practice address
3700 ROUTE 33, SUITE LL-01, NEPTUNE, NJ 07753-3206
(732) 280-7855
Mailing address
3700 ROUTE 33, SUITE LL-01, NEPTUNE, NJ 07753-3206
(732) 280-7855
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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