Organization
COASTAL SPINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGUERITE ZOLTEK (BILLING DIRECTOR)
(856) 222-4444
Entity
Organization
Contact information
Practice address
4000 CHURCH RD, MOUNT LAUREL, NJ 08054-1110
(856) 222-4444
Mailing address
4000 CHURCH RD, MOUNT LAUREL, NJ 08054-1110
(856) 222-4444
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
01/21/2010
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