Organization
OCEAN HEALTH INITIATIVES, INC
Active
Organization
OCEAN HEALTH INITIATIVES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA BERGER MD (CEO)
(732) 363-6655
Entity
Organization
Contact information
Practice address
10 STOCKTON DRIVE, TOMS RIVER, NJ 08755
(732) 363-6655
(732) 552-0378
Mailing address
3600 ROUTE 66, SUITE 400, NEPTUNE, NJ 07753
(732) 363-6655
(732) 552-0378
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
23453
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076244
—
NJ
Enumeration date
11/10/2005
Last updated
03/29/2019
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