Organization
JERSEY SHORE NEUROLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA L. TEBBS (OFFICE MANAGER)
(732) 775-2400
Entity
Organization
Contact information
Practice address
1900 CORLIES AVE, NEPTUNE, NJ 07753-4800
(732) 775-2400
(732) 775-5673
Mailing address
1900 CORLIES AVE, NEPTUNE, NJ 07753-4800
(732) 775-2400
(732) 775-5673
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2880903
—
NJ
Enumeration date
05/19/2006
Last updated
08/22/2020
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